Monday, January 20, 2020

Most Significant Issues Facing Health Care Organizations Essay

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 managed care/health plan information systems executives and to provide opportunity for personal networking. MCEG provides a forum to develop policy which relates to the use of information technology and healthcare. MCEG provides feedback to vendor sponsors and other vendors on the trends and types of technology needed to ensure that their products and strategies meet their customer’s present and future managed care needs. Additionally, their objective is to â€Å"educate executives on clinical and administrative trends in health care, new and emerging technologies, and other pertinent information to assist in achieving the key goals of cost containment, effective service and high quality health care.† (Why We Matter, 2011) Administrative Mandates (Compliance HIPAA 5010, ICDE-10) Administrative Mandates, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, ICD-10 and HIPAA 5010, are all part of administrative simplification and the need for systems optimiza... ...ntial in ACOs. Retrieved January 16, 2012 from Wise, N., & Taylor, F. (n.d.) Moving Forward With Reform: The Health Plan Pulse for 2012 and Beyond. Retrieved January 16, 2012 from Payer/Provider Inoperability. (2011). Retrieved January 13, 2012 from The Managed Care Executive Group. (2011). Retrieved January 13, 2012 from Top 10 issues for health plans in 2011. (2011, April 5) Healthcare IT News. Retrieved January 13, 2011 from Why We Matter. (2011). Retrieved January 13, 2012 from

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