AJMC December 6, 2022
Edward Juhn, MD, MBA, MPH, Erica Galvez, MA

Health plans can gain efficiencies and improve quality by connecting to health information networks and incentivizing hospital and provider participation as part of pay-for-performance programs.

Am J Manag Care. 2022;28(12):In Press
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Takeaway Points

  • Health plans, hospitals, and providers are increasingly recognizing that sharing claims and clinical data can help them coordinate care, reduce costs, manage population health, improve patient experience and outcomes, and address health equity challenges.
  • To incentivize and encourage health care providers to share health information, Inland Empire Health Plan (IEHP), one of the 10 largest Medicaid health plans and the largest nonprofit Medicare-Medicaid plan in the country, has taken an innovative approach to include financial incentives for sharing health data in its quality...

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Topics: Health IT, Health System / Hospital, HIE (Interoperability), Insurance, Payer, Provider, Technology
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