Most Significant Issues Facing Health Care Organizations...

Formed in 1998, the Managed Care Executive Group (MCEG) is a national organization of U.S. senior health executives who provide an open exchange of shared resources by discussing issues which are currently faced by health care organizations. In the fall of 2011, 61 organizations, which represented 90 responders, ranked the top ten strategic issues for 2012. Although the issues were ranked according to their priority, this report discusses the top three issues which I believe to be the most significant due to the need for competitive and inter-related products, quality care and cost containment. The Managed Care Executive Group (MCEG) The objective of the MCEG is to provide channels to exchange information between†¦show more content†¦This implementation will require changes to software and systems and possible changes in procedures used for billing Medicare and Medicaid. Following HIPAA 5010 will be an impact for health care systems to change to ICD-10 for their medical record coding and billing. â€Å"Administrative simplification, speed to market, more automated processes and streamlined project delivery will be strategically important and necessarily balanced with maintaining and enhancing current systems and gaining consumer confidence in health plans.† (Administrative Mandates, 2011) Care Management, Data Analytics, and Informatics Healthcare organizations will be driven to invest more in data and analytics due to new technologies. This includes Electronic Medical Records (EMR’s), Computerized Physician Order Entry (CPOE), e-prescribing, on-line reporting and appointment scheduling. Furthermore, important programs such as â€Å"wellness, disease management, mental/behavioral health support systems, real-time decision support, case management, customer segmentation, and protocol/rules development† will further drive the need for investment in data and analytics. This information, supported by health plans, will enable caregivers to more accurately identify a diagnosis and provide the necessary treatment plan. (Care Management, Data Analytics, 2011) Electric MedicalShow MoreRelatedthe impact of ACA in North Carolina1251 Words   |  6 PagesThe Impact of Affordable Care Act on North Carolina’s Uninsured Population The Affordable Care Act (ACA) which was passed by Congress was implemented to improve the quality of health care and reduce the cost of health insurance in the United State. America spends more on health care than any other industrialized nation in the world. 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