The number of people spending their time in and out of hospitals or moving to longer-term living and care facilities has continued to increase over time. Digital and home-based care innovations have remained in the “pilot” phase and have been limited to one event or singular disease point solutions. This stark difference between consumer need and industry performance is overdue for disruption. Enter COVID-19. The pandemic’s d...

Now, more than ever, transitioning care home is mission-critical as COVID-19 further spotlights the instability of institution-based care. Reimagining the home as a destination of care across the entire continuum requires the adoption of 3 pillars of care management. This includes embracing technology, evaluating and addressing non-clinical needs, and finding ways to provide critical support that has been stripped away as an unintended result...

Health insurance providers are being mandated to provide members with health information using prescribed data standards and APIs. Health insurance providers need support in navigating these regulations and understanding how they can fit into their organization’s overall business transformation strategy. This webinar will discuss how health insurance providers can think beyond regulatory compliance and take a more holistic approach to de...

The CMS Interoperability and Patient Access Final Rule requires health plans to make patient data available through industry standard APIs. CMS and the Office of the National Coordinator for Health IT (ONC) have acted to foster easy patient access to consumer health information through interoperability and to unleash digital health innovation. In addition to meeting a January 1, 2021 compliance deadline under the Final Rule, health plans must...

The demand for medication price transparency has reached a tipping point. Patients are expecting it, health insurance providers are adopting it, and the federal government is requiring it. In fact, a recent survey of U.S. patients revealed that patients believe prescription price transparency at the point of care helps them afford their medications (55%), and increases both their satisfaction with their doctor (50%) and the likelihood that the...

Barriers to information exchange due to lack of interoperability is an ongoing challenge for healthcare. The CMS’s release of FHIR Rules coinciding with the pandemic has forced health care payers to prioritize this problem. Interoperability facilitated by the FHIR implementation fosters deep integration of clinical, financial, administrative and other data across the ecosystem driving Longitudinal Patient Record. The practical challenge...

Where Health Care Gets Better When consumers have better health care experiences, it’s better for everyone. AHIP’s Consumer Experience & Digital Health Forum is where you’ll get even better at identifying the best solutions for your toughest challenges. Better at improving outcomes, containing costs, managing growth, and streamlining processes. You’ll engage with experts, innovators, and visionaries who arrive with...

AHIP’s National Health Policy Conference delves deeply into our nation’s top policy priorities as we work together to improve our health care system. No Other Conference Delivers Experts and Insights Like AHIP Learn what’s working now, and what’s on the horizon for our health care system. The agenda will be filled with the expert speakers you want to hear from and the topics you need to know more about. You’ll gai...

The Medicare and Medicaid programs now insure more than one-third of Americans and it’s more vital than ever before to focus on moving forward and adapting to meet new demands. Get in-depth perspectives and analysis from policymakers, scholars, thought leaders, and industry stakeholders on: Medicaid rate setting and implementing new guidance Looking to the future of Medicare Advantage (MA) Providing coordinated access to quality, person-...

AHIP’s Institute & Expo is about strategic solutions to help you advance your organization’s biggest and most complex priorities. It’s the most comprehensive industry gathering you’ll find that’s focused on thought leadership, idea sharing, and industry vision.You’ll find Answers to Essential Questions Facing Health Plans What are the biggest disruptors to our health care system, where are they coming fr...