__Domain Monitor

by Brian Murphy | May 22, 2019

The ONC Turns its Attention to Interoperability

Chilmark Advisory Service Interoperability Domain Monitor (January 2018) A primer on what is in the first draft of ONC's proposed TEFCA, including intended use cases, unaddressed but important issues, how it may interact with other regulations, and who benefits. Key Takeaways:  Congress required ONC to set rules for trusted exchange

by Brian Murphy |

What Will ONC Do With TEFCA?

Chilmark Bight from May 2018: Major issues raised by stakeholders about the 1st draft of TEFCA ONC’s draft Trusted Exchange Framework and Common Agreement (TEFCA) and U.S. Core Data for Interoperability (USCDI), required by the 21st Century Cures Act, generated a mountain of comments from healthcare stakeholders. In Table 1,

by John Moore III | March 04, 2019

Clarify Health

From the 2019 Bundled Payments Market Trends Report, Bundled Payments: Current Strategies and Tools. Ownership: Private Vendor Type: Niche episodic payment Deployment: Cloud Data sources: EHRs, claims, social determinants, patient-reported outcomes Target market(s): Hospitals and health systems, employers, and payers Example Customer: Orthopedic Centers of Colorado Market approach: A Clarify Health

by John Moore | November 17, 2018

What’s Next for athenahealth?

Our take on the recent athenahealth acquisition athenahealth was taken private on Monday, Nov. 11th by Veritas Capital and Evergreen Coast Capital (the PE arm of Elliot Management) following a long, drawn-out process. The real story is Veritas, who has deep expertise in the healthcare IT sector and adds athenahealth to several

by John Moore | November 09, 2018

Convergence & Divergence Among the Big Three EHR Vendors

Chilmark Bight: Allscripts, Cerner, Epic Fall 2018 User Meetings This fall, the three largest EHR vendors by revenue, Allscripts, Cerner and Epic, held their user conferences. This research note provides an overview of each vendor’s strategic intent, areas of future focus and our assessment. Key Takeaways Across all vendors, EHR

by Brian Eastwood | October 23, 2018

Digital Therapeutics Show Promise to Support Mental Health

Chilmark Advisory Service: Engagement Domain Summary Healthcare organizations (HCOs) struggle to provide effective mental health services to patients who need them. Four potential solutions – clinically validated apps, employer programs, patient control of health data, and clinical decision support – could address the problem but are not without their own

by Matt Guldin | August 16, 2018

Cerner-Lumeris Partnership: Moving into the Value-Based Services Business

Summary: On July 9th, Cerner and Lumeris announced a 10-year, $266M partnership to build a new EHR-agnostic technology and service solution called Maestro Advantage designed for health systems transitioning to value-based care strategies. The solution will include Cerner’s HealtheIntent platform (registries, EDW, analytics, provider engagement, longitudinal record, care management) along

by Brian Eastwood | July 16, 2018

Engaging with Machines: Prepare Now for Disruption Later

Summary Chatbots that simulate human conversations and virtual assistants that emulate human interaction offer the potential to reduce the friction associated with adopting engagement solutions that require patients to complete complicated or unfamiliar tasks. Though the market for these products is new, the disruptive potential is substantial for patient engagement
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