Question

specific to PAYER organizations. Describe how payer organizations can use health information exchanges to improve process of care delivery that enhance the quality of services they provide. (2 pages)

Answer 1

Ans) Health Information Exchange (HIE) is an important tool in improving the quality of patient care and outcomes, increasing accuracy and speed of diagnosis, eliminating unnecessary or duplicative tests and procedures, and reducing healthcare
expenditures.

- Payers who participate in state/community HIEs, such as the SHIN-NY, experience greater oversight and are better equipped to manage and coordinate patient care.

- The SHIN-NY can also support the increase in data sharing and reporting requirements, helping payers keep up with the demands of payment reform and more patient-centered care.

- Additional administrative benefits
include more efficient workflows and enhanced population-based analytics and public health reporting.

- Payers have much to gain as HIE services mature and develop. As integral parts of the healthcare delivery ecosystem, payers need to be increasingly collaborative with each other and other stakeholders.

- Furthermore, collaboration with the payer community will only strengthen the overall quality of healthcare delivery.

- The more payers engage with the SHIN-NY, the more compelling it will become for the SHIN-NY to continue to deploy products and services that meet payer needs.

- As healthcare moves toward placing value
on patient-centered care, all parts of the system will need to collaborate together to achieve the Triple Aim.