VirtualHealth

12/09/2024

"And with FHIR, one of the big things for me, as far as driving that patient engagement and then ultimately patient outcomes, is the ease with which different technology vendors can process that particular information."

VirtualHealth's Director of Solutions Architecture, Huthaifa Khan, our resident FHIR expert, and Daniel Bach, Community Manager at HL7, discuss how FHIR is revolutionizing patient access and interoperability in healthcare.

11/26/2024

What if giving was a constant part of your population health approach? 💖 We worked with Unite Us and Community Care of North Carolina to bring you the SDOH resource you didn't know could exist to help you do just that.

From us three leaders in , here is an interactive, team-friendly "Integrated SDOH Workbook". 👉 https://www.virtualhealth.com/white-paper/build-sdoh-workbook/ 👈

- Download and use in Adobe OR print it offline and write in whatever pen you like

- Use it alone, with teams, and as part of your 2025 planning meetings

- Use it to help you gut-check your existing approach to SDOH

- Take advantage of included tips, real-world examples, and resources

💖 Just a little way for all three of us to give something back to healthcare this year

HELIOS is the only 90% configurable CM/UM platform with integrated products to help you meet new prior authorization API and process requirements (both today and in the long term), leverage pre-built and configurable workflows for streamlined UM and CM automation, and eliminate provider friction wit...

11/04/2024

Many healthcare payers are still struggling with coordinated care. Data from Beckers Healthcare earlier this year found that disconnections with providers, interoperability challenges, and a lack of communication and visibility are contributing factors.

“It’s not surprising to see such a high prevalence of payers struggling to successfully execute coordinated care,” said Sue Powers, Chief Growth Officer at VirtualHealth. “This is often one of the concerns payers come to us with when evaluating care management platforms, and we usually see several barriers that are preventing true care collaboration. The most common barriers we see to coordinated care include 1️⃣ communication barriers between payers and providers; 2️⃣ disparate systems and data formats that create silos of information; 3️⃣ lack of active patient engagement; 4️⃣ gaps in the proactive whole-person care approach — specifically those related to social determinants of health; and 5️⃣ poorly constructed workflows. And what makes coordinated care more challenging is that all these are connected. You can’t create better communications across the care continuum or properly identify health-related social issues if data isn’t transparently centralized and shared. And you cannot engage members in their health without them in a timely fashion, which is created by leveraging intelligent streamlined workflows.”

10/24/2024

Many Millennials are putting their health on the back burner. VirtualHealth's Director of Solutions Architecture, and resident FHIR expert, Huthaifa Khan shares his own experience with HL7's Daniel Bach and explains how seamless healthcare interoperability enabled him to bring his health and well-being into focus and off the back burner, as a prime example of the role will play for today's generations with health literacy and health care service usage.

10/21/2024

As data from the Beckers Healthcare survey of payers earlier this year shows: payers' lack of interoperability is critical to address ASAP since it offers the ability to drive seamless collaboration and communication and support the recent CMS-0057-F requirements around prior authorization, specifically the APIs and simple, secure data exchange.

👀 Learn more about why matters for payers in 2025 and beyond: https://bit.ly/4gY1ZjX

10/16/2024

A common complaint of payers is having to spend operational budgets and resources on a tech stack requiring various differentiated solutions to solve interoperability problems, enable streamlined utilization management, and support and evolve VBC models. https://bit.ly/3XPL8Y0

10/09/2024

Quick tips for how to engage the "anxious generation" (aka Gen Z) in and - https://bit.ly/4gZ9dUQ

10/08/2024

Equip primary care physicians (PCPs) to integrate services, leverage community options, explore a multi-channel approach, and broaden VBC arrangements with these four easy strategies for improving access to mental health and behavioral health services. https://www.virtualhealth.com/blog/how-can-payers-better-support-adults-with-behavioral-and-mental-health-needs/

Mental health and behavioral health support is a critical need for many health plan members. Learn how payers can better support adults with behavioral and mental health needs.

10/03/2024

Using HELIOS as a centralized referral and care coordination resource, ICP has been better able to identify and serve complex-care patients. As a result, ICP has been able to reduce readmissions, improve health outcomes, improve overall health and quality of life, and close critical gaps in health-related social needs for these individuals.

See the full case study here: https://bit.ly/3Me6Kb3

09/25/2024

📰 We have some exciting news at VirtualHealth! 📰

Looking to better serve customers and patients, and move population health management forward, we are pleased to announce an industry partnership with population health analytics leader HealthEC, LLC 📊. This partnership represents a transformative step in delivering integrated, data-driven healthcare solutions that improve patient outcomes and drive value-based care success.

Read the news:

VirtualHealth and KLAS population health management leader HealthEC are partnering to bring enhanced population health analytics capabilities to the industry-leading care and utilization management HELIOS platform.

09/09/2024

In a recent survey, more than one-third of respondents (47%) indicated
they were struggling to execute coordinated care. 🤲

↔️ Interoperability ↔️ also appeared to be a major concern, with 57% of survey participants citing fragmented data systems as a top-three barrier to value-based care.

📊 And, 54% indicated a lack of data exchange between payers,
providers, and members as another top-three barrier.

HELIOS is the only 90% configurable CM/UM platform with integrated products to help you meet new prior authorization API and process requirements (both today and in the long term), leverage pre-built and configurable workflows for streamlined UM and CM automation, and eliminate provider friction wit...

08/20/2024

Why should healthcare payers be adopting FHIR now? Beyond making it easier to meet compliance requirements, present and future, FHIR can help payers be more readily adaptable in today's modern technology-driven healthcare environment. The experts share more in this quick Future of Care Chat clip.

08/13/2024

The value of provider-payer relationships is critical. As called out in our recent webinar with Beckers by Natosha Anderson, who emphasized the importance of sharing insights, data, and best practices to build strong trust-based relationships that set the stage for working together to improve value-based care.

✋ Did you miss the webinar? Watch it on-demand at https://bit.ly/3YGnYFm

08/01/2024

Daniel Bach, Community Manager at Health Level Seven International, shares with VirtualHealth the power and value of the standard beyond compliance. Dive in with a personal example of seamless healthcare data sharing and how it enables easier access to care and greater patient confidence and activation.

07/19/2024

What integrated strategies can make it easier to identify and address ?

Explore our quick suggestions, then learn more in our white paper exploring SDOH and generational care: https://bit.ly/4bJBM4R

07/11/2024

FHIR has gotten a lot of attention in recent months due to the push for FHIR-based APIs under the new CMS-0057-F ruling in January for prior authorization and interoperability. Specifically, this pushed for greater data transparency and sharing for providers, payers, and patients, with the singular goal of making healthcare more efficient, accurate, affordable, and collaborative.

Recently, our Director of Solutions Architecture and resident FHIR expert Huthaifa Khan sat down with Daniel Bach, Community Manager at HL7. During their conversation, Khan and Bach looked at the critical impact of FHIR on patient outcomes and engagement. Below these two experts dive into how FHIR is revolutionizing healthcare interoperability, helping to improve patients’ health literacy, engagement, and health and wellbeing, and what this means for the future.

They also each share how seamless interoperability led to expedited and transparent healthcare and personal empowerment in their own lives to showcase why healthcare payers should be leveraging FHIR now and not just doing so in 12 to 24 months to meet new compliance requirements.