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Latest Regulations Impacting Value-Based Care for Providers, Payers, and Patients

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ÀÌ IDC Perspective¿¡¼­´Â ¹Ì±¹ÀÇ ÀÇ·á ½Ã½ºÅÛ¿¡¼­ °¡Ä¡ ±â¹Ý ÄɾîÀÇ ÁøÈ­¸¦ »ìÆìº¸°í, Á¤Ã¥ º¯°æ, Å×Å©³î·¯ÁöÀÇ Áøº¸, »óÈ£¿î¿ë¼º°ú µ¥ÀÌÅÍ ÇÁ¶óÀ̹ö½ÃÀÇ Çâ»ó¿¡ ÀÇÇØ ÃÊ·¡µÇ´Â °úÁ¦¿Í ±âȸ¸¦ °­Á¶ÇÕ´Ï´Ù. ÀÇ·á °ü°èÀÚ »çÀÌÀÇ È¿°úÀû Çù·ÂÀ» ÅëÇØ ´õ ³ªÀº ¼º°ú¸¦ ÃËÁøÇÏ´Â °ÍÀ» ¸ñÀûÀ¸·Î Çϰí, HTI-1 ÃÖÁ¾ ±ÔÄ¢ ¹× TEFCA µîÀÇ ÃÖ±Ù ±ÔÁ¦ ¹× Ç¥ÁØÀÌ ÀÇ·á IT Åõ¸í¼º°ú »óÈ£¿î¿ë¼ºÀÇ °­È­¿¡ ¹ÌÄ¡´Â ¿µÇâ¿¡ ´ëÇØ ¼³¸íÇϰí ÀÖ½À´Ï´Ù. IDCÀÇ Value-Based Health Digital Strategies, ¸®¼­Ä¡ µð·ºÅÍÀÎ Jennifer EatonÀº ´ÙÀ½°ú °°ÀÌ ¸»Çϰí ÀÖ½À´Ï´Ù. "»óÈ£¿î¿ë¼º°ú Çõ½ÅÀ» µµÀÔÇÏ´Â °ÍÀÌ ÀÇ·áÀÇ ÁøÈ­ÇÏ´Â »óȲ¿¡¼­ °¡Ä¡ ±â¹Ý ÄɾîÀÇ °¡´É¼ºÀ» ÃÖ´ëÇÑÀ¸·Î ¹ß»êÇÏ´Â ¿­¼è°¡ µË´Ï´Ù."

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  • HTI(Health Data, Technology, and Interoperability) : ÀÎÁõ ÇÁ·Î±×·¥ °»½Å, ¾Ë°í¸®Áò Åõ¸í¼º, Á¤º¸ °øÀ¯ ÃÖÁ¾ ±ÔÄ¢
  • TEFCA(Trusted Exchange Framework and Common Agreement)
  • CMS »óÈ£¿î¿ë¼º°ú ȯÀÚ ¾×¼¼½º ÃÖÁ¾ ±ÔÄ¢
  • CMS 2024, ÀÇ»ç ¿ä±Ý ½ºÄÉÁÙ ±ÔÄ¢

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KSA 24.05.20

This IDC Perspective explores the evolution of value-based care in the U.S. healthcare system and highlights the challenges and opportunities presented by policy changes, technology advancements, and the need for improved interoperability and data privacy. The document discusses the impact of recent regulations and standards such as the HTI-1 final rule and TEFCA on enhancing health IT transparency and interoperability, aiming to foster better outcomes through more effective collaboration among healthcare stakeholders."Embracing interoperability and innovation is key to unlocking the full potential of value-based care in healthcare's evolving landscape," stated Jennifer Eaton, research director, Value-Based Health Digital Strategies at IDC.

Executive Snapshot

Situation Overview

  • Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing Final Rule
  • Trusted Exchange Framework and Common Agreement
  • The CMS Interoperability and Patient Access Final Rule
  • CMS 2024 Physician Fee Schedule Rule

Advice for the Technology Buyer

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  • Related Research
  • Synopsis
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