As value-based care models become the new norm of healthcare, providers and payers are going to share claims and clinical data more so now than ever before, according to the Healthcare Financial Management Association, HealthData Management reports.
Here's what to know.
1. HFMA issued recommendations on value-based payments to help prepare organization and to "encourage them to collaborate with health insurers on risk-based models."
2. The guidelines suggest health plans should provide access to raw claims data and aggregated reports.
HFMA believes that will allow organizations to conduct individual analysis while providing small physician practices with "actionable financial data."
By allowing access to the data, physicians will be able to improve the level of their care, eliminate unnecessary utilization and improve outcomes.
3. New York-based Independent Health, a not-for-profit health plan, provides its partner physicians and providers with practice patterns and other metrics.
Independent Health CMO Thomas Foels said physicians no longer have a sense of their performance, and that providers are hesitant because of the new system of reimbursement.
4. HFMA encourages vendors to share "true data interoperability across electronic health record platforms — without additional financial cost."
5. HFMA said all stakeholders need to collaborate to develop a "unique patient identifier" that will respect privacy while allowing physicians access to the clinical data.
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