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Study: HIE Participation Financially Beneficial to Providers, Payers

Participating in health information exchanges can have financial benefits for  both payers and health care providers, according to a study published in the Journal of the  American Medical Informatics Association, FierceEMR reports.

For the study, University of Wisconsin-Madison researchers analyzed 4,639  emergency department encounters at three large Milwaukee facilities over a  one-year period to determine the benefits of patients’ health data access  through an HIE.

Study Findings

Researchers found that access to patient data through an HIE resulted in “net  gains” for both payers and health care providers.

Reducing unnecessary hospitalizations and preventing repeat ED visits were  responsible for more than 70% of the total cost savings, according to the study.

Payers experienced financial benefits through decreased reimbursements  because of reductions in tests, hospitalizations and ED visits.

Although health care providers saw a decrease in compensation for treating  fewer commercial fee-for-service patients, it was offset by reduced spending on  a larger group of Medicare and Medicaid beneficiaries, according to the study.  Medicare and Medicaid reimbursements are significantly lower, FierceEMR  reports (Durben Hirsch, FierceEMR, 6/27).

Source: iHealthBeat

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