Accountable Care

As European healthcare data regulations evolve, Alexander Berler, IHE Catalyst's strategic business development director, says adopting its integration profiles can help vendors ensure their tools meet interoperability standards.

An Advent Health hospital is seeking to order Blue Cross and Blue Shield of Kansas City to pay $2 million for denied claims related to documented diagnoses, and to stop using clinical validation models to deny payments.

The California arm of the massive health system jumped from one to more than 50 value-based care quality contracts in eight years. It earned more than 50 quality awards in 2024 alone. And it continues to close care and disparity gaps.

This month, companies including Oracle, Medtronic, Atropos, Elation, LeanTaas, Palantir and more released artificial intelligence and virtual reality enhancements that offer health systems a menu of efficiency tools. 

The annual wellness visit and breast cancer screening campaigns show how a health system can succeed with value-based care. The provider also achieved a more than 28% improvement in care-gap closures.

Small providers struggle for survival, and security risks only exacerbate the challenge. But by sharing technologies and making use of resources like virtual CISOs, some hospitals are staying ahead of their biggest closure risks.

Four FQHCs and one community hospital are learning from each other as they navigate various artificial intelligence implementations. Leaders from the Health AI Partnership will discuss their experiences at the HIMSS AI in Healthcare Forum in July. 

With prebuilt artificial intelligence tools and open APIs, health systems can use the cloud-agnostic tech to develop and deploy real-time analytics that could improve operational efficiencies and care delivery outcomes.

Dr. Bernard Schayes, a New York City-based physician in private practice, successfully deployed artificial intelligence-powered care coordination technology, saving him hours of tedious typing and data entry, among other gains.

The kidney care provider's build-not-buy effort has shown great results: 30-day readmissions are down 36%, hospitalizations among high-risk patients are down 49% and optimal starts are up 67%.