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Finding the Best Path Forward for Adoption of Prescription Digital Therapeutics

Delve into the current state of prescription digital therapeutics (PDTs) adoption and uncover strategies for increasing payer approval and achieving widespread coverage of PDTs.

Finding the Best Path Forward for Adoption of Prescription Digital Therapeutics


It's easy to get swept up in the swelling enthusiasm for using the explosion in electronic health and claims records to improve every aspect of healthcare. But the era of "big data" isn't going to happen without better federal rules for stimulating its uses and preventing abuses.

Smart watches, mHealth apps, and Bluetooth scales may just be edging into the social consciousness as a viable way to monitor personal health and manage chronic diseases, but EHR developers have been eyeing these technologies for some time, seeing them as valuable tools in the struggle to engage patients, prevent unnecessary readmissions, reduce costs, and promote long-term health.

The Office of the National Coordinator (ONC) outlined a 10-year plan that will strengthen the nation's health IT infrastructure by 2024. This interoperable system would promote a "continuous learning" environment that would enforce higher-quality data standards, improve population health, better engage patients, and lower care delivery costs.

Health insurance exchanges continue to be a work in progress, at least for several states that are facing ongoing challenges. In particular, 5 states-Maryland, Massachusetts, Minnesota, Nevada, and Oregon-estimate that it will cost $240 million to fix their existing exchanges, or to transition to using the federal exchange.

Federally qualified health centers (FQHCs) have increased their EHR adoption by 133% over the past four years, says a report from The Commonwealth Fund, with 93% of FQHCs in possession of an EHR and 85% of these community provider organizations reporting advanced HIT capabilities.

Only 50 physicians and 4 hospitals that enrolled in the federal electronic health record (EHR) incentive payment program have reported achieving Stage 2 meaningful use of EHRs. Officials from the Centers for Medicare & Medicaid Services (CMS) said that due to these low numbers, many participating practitioners who did not achieve Stage 2 risk having their Medicare reimbursement payments lowered at the end of 2014.

OncologyCloud, a platform developed by Flatiron Health, is already in partnership with more than 25 cancer centers to help address some of the bottlenecks in cancer care.

Experts from the University of Pittsburgh Medical Center (UPMC) found that big data tools can play an important role in personalizing healthcare delivery methods. Transforming care delivery models is an essential component of health reform because tailored, value-based care will lower costs and improve quality of care.

The Federation of State Medical Boards approved a model telehealth policy this weekend that's made some providers of these services happy and others, well, not so much, because of its emphasis on using video rather than audio technology for a first patient visit.

Most people want to take medications as prescribed, even if they sometimes need a little help remembering. For them, an automated system that monitors drug taking and provides feedback after the fact may be more useful than one that nags people when it is time to take a pill, researchers at Carnegie Mellon University say.

Farzad Mostashari, MD, visiting fellow, Brookings Institution, former national coordinator for health information technology (HIT), US Department of Health and Human Services, says interoperability is the concept of being able to securely exchange health information, and then appropriately understand and use it.

Look beyond the EHR incentive program. A national effort to turn CMS's recent release of Medicare physician payment data into useful, actionable data visualizations is the hottest HIT challenge right now.

Healthcare experts have officially begun a long-awaited dive into newly released data showing how much doctors charge and receive for treating Medicare patients.

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