Transcript Slide 1

Monitoring the healthcare industry’s progress
towards business efficiency
Pat Blewitt, Emdeon
Maryland AHAAM
June 2009
Top 4 Issues - Legislative Day
1. Issue - National Payer Identification Number
2. Issue - CMS Should Require the Adoption of a
National Patient Health Insurance ID Card
3. Issue – Electronic Funds Transfer
4. Issue – Claim Acknowledgement Transaction
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AAHAM Requested Action
AAHAM requests that Congress encourage &
CMS/HHS take action towards a rule
requiring all payers required to use the
HIPAA 835 transaction also be required to
pay providers using electronic Funds
transfers (EFT).
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Why the Recommendation?
Mandated use of electronic funds transfers
could cut $11 Billion per year from healthcare
costs in the United States.
http://www.ushealthcareindex.com/index.php
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New Industry Forum Launched in December 2008:
U.S. Healthcare Efficiency Index™
Purpose
• Create an industry forum for monitoring
business efficiency in healthcare
Vision
• Raise awareness of potential savings and
reframe the national dialogue on health
reform
Goals
• Establish single national reference
• Track progress across the industry
• Remove barriers
• Take costs out of healthcare
ushealthcareindex.com
Potential Savings: $30 Billion per Year
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Independent Advisory Council
Fritz Scheuren, Ph.D
Patrick Baier, D.Phil.
Statisticians
Scheuren - Ruffner
Andrew L. Naugle, MBA
John L. Phelan, Ph.D
Milliman, Inc.
Jane Sarasohn-Kahn
Healthcare economist and author
The Hon. Newt Gingrich
Former House Speaker, and Founder,
Center for Health Transformation
Stanley Nachimson
Nachimson Advisors, LLC
Erik Swanson
Wellpoint
Fred Horowitz, DMD
Cooperative Exchange & Chief Executive Officer
of Affiliated Network Services
Richard Nelli
Cooperative Exchange & Chief Technology Officer
of CareMedic
Robin Thomashauer
Council for Affordable Quality Healthcare (CAQH)
The Hon. Phil Johnston
Chair, Massachusetts DNC, former State
Senator and former regional director at HHS
Eric Wallace
Linxus / Greater NY Hospital Association
Dave Garets
HIMSS Analytics
Miriam Paramore
Emdeon
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Data collection, extrapolation, and publication
Payers
Providers
Clearinghouses
Every quarter contributors enter data at the
secure, password protected Index website
Avg.
Monthly
Volumes
Publicly
Available
National
Efficiency
Metrics
% of
Volumes in
EDI
EDI Savings
Independent, 3rd Party Statisticians
Data goes directly
to independent
statisticians
Data is scrubbed
and de-identified
Aggregated
metrics are
extrapolated
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Secure Website & Login
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Index Phases
Phase 1: Industry Data – 5 Basic Medical Transactions
Phase 2: Direct Data Collection and Reporting
Phase 3: Expansion – Pharmacy Index
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what would u do w/
$30 B?
ushealthcareindex.com
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