Access Plans Inc (fka APNC)

[MoneyMan]

Health Reform Aside, Healthcare Industry Still Faces Major Challenges

Regardless of how reform legislation plays out, the health care industry still has stormy seas to navigate in the months ahead. Business intelligence technology and regulatory compliance will feature prominently among these navigational challenges.

Expect health information consultancies to benefit strongly, as payers and providers increasingly seek external advice.

Last week, Milliman, an actuarial consultancy, blasted a warning shot across the industry's bow. In its survey on ICD-10 readiness, it reported that 70 percent of respondents, mostly health plans, indicates little or no prepared action.

The International Classification of Diseases, or "ICD", is a coding system that connects the entire $2.5 trillion industry. Payers and providers use it to communicate on reimbursement and administrative transactions, as well as care delivery procedures, including documentation of a patient's visit, research activities, public health reporting, and quality reporting......

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