eHealth and mHealth are data driven and are dependent on both the kinds of information which can be generated and the transport infrastructure which carries them. This week the International Journal of Medical Banking, Vol. 3, will be officially announced at the HIMSS Medical Banking Project’s Eighth National Banking Institute, and it will focus upon innovations related to the convergence of Financial Services and Healthcare. John Casillas, senior vice president, HIMSS Medical Banking Project, is the IJMB’s Editor-in-Chief.
Casillas authors “Designing the Healthcare Financial Network of the Future” wherein he makes the case for the future of medical banking, a term he coined, by reviewing the alignment of stakeholders, the role of bank infomediaries, the emerging health-wealth paradigm, and the need for a common medical banking platform. He advertises more widely the HMBP deployment of the Dispute Resolution Initiative tool, a free online progressive crosswalk of the universe of payer denial codes with a set of 20 action steps; the kind of innovation for which the Blair House Summit attendees rhetorically called. He also advocates the utility of the design of a bank-enabled health information exchange ecosystem.
In “Lessons Learned for Medical Banking from the Financial Services Industry: The Case of a Fraud Prevention Platform as Transformative Innovation”, Allan Klindworth, MBA, and Stephen T. Parente, PhD, reveal the 1993 catalyst for change—predictive modeling. They review the lessons learned regarding fraud indicators, model robustness, real-time assessment, accuracy, measurements, silo mentality, known frauds, and integration. They relate the Financial Services industry parallels to healthcare and expound upon the problem of healthcare fraud, the Financial Services approach to prevention, and the necessity of a change in healthcare culture.
Peter W. Lang, Trellis Integration Partners, gives a technologist’s insight into “High Security Medical Banking via SWIFT,” and the role that the Society for Worldwide Interbank Financial Telecommunications network can play in the area of the transfer of healthcare PII and other valuable data payloads.
John R. Thomas, president and CEO of MedSynergies, Inc., in “Where Have All Your Physician Customers Gone?”, identifies physicians as the perfect bank customers and details the impacts of healthcare reform on physician practices. He interprets the demographics of physician customers and provides six insights and recommendations concerning the business alignments of physicians and their impacts on banks.
Joseph A. Jackson, LICSW, takes on the primary topic of the Blair House Summit, financing health, in “Medicine, Banking and Community Health”. Jackson describes the Community Health Consortium and gives his vision for creating the future.
I plan to discuss these topics at the Institute with the authors and anything related to medbanking social media with you at one of the Meet the Bloggers panels (Wed., March 3, 3:30 pm – 5 pm) moderated by Cesar Torres, Manager, Web Services, HIMSS. I hope to see you there.