Why is HIE (Health Information Exchange) Important?
The role of a payer in health care management is challenged by demands placed on them by customers, providers and the end-user, the patient. And while the payer frequently is considered the source for patient management, their ability is limited due to a lack of clinical patient information, available at the time a patient is being cared for. In the current climate of cost control and shared savings, this challenge can be addressed with the use of HIE information- aggregate patient information as well as individual clinical histories allow case - and care- management departments to reach out to patients, engage in a meaningful dialogue, and provide the patient with tools and education to manage the advancement or repeat of their illness.
HIE can improve efficiencies of care, reduce the need for duplicate testing, and prevent avoidable readmissions. By making this information available to a provider panel, meaningful incentives can be built around actionable information that benefit the payer, provider and not in the least the patient.
What can HASA offer a Payer Organization?
HASA’s suite of services can enable payers to:
Review patient ED visits and discharges in “near” real-time for care management follow up
Extend member relationship through HASA’s patient portal- the Go Account
Identify and manage high risk population groups
Run real-time HEDIS reporting parameters to validate compliance with standards and goals
Run performance reports for risk-based or ACO organizations
Conduct chart reviews efficiently, without the need to be on-site