Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The payers' automation challenge.

M Colby

    Health Data Management
    |March 9, 1994
    PubMed
    Summary

    Most health insurers are slow to adopt electronic data interchange (EDI) for healthcare transactions. Progress is slow due to costs and lack of standard formats, with providers bearing financial burdens.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    The use of bacteriophage MS2 for the development and application of a virucide decontamination test method for porous and heavily soiled surfaces.

    Journal of applied microbiology·2019
    Same author

    Safety profile of a replication-deficient human adenovirus-vectored foot-and-mouth disease virus serotype A24 subunit vaccine in cattle.

    Transboundary and emerging diseases·2017
    Same author

    Environment and Development. Get the science right when paying for nature's services.

    Science (New York, N.Y.)·2015
    Same author

    The role of the Department of Homeland Security, Science and Technology Directorate in the development of vaccines and diagnostics for Transboundary Animal Diseases.

    Developments in biologicals·2013
    Same author

    Laboratory evaluation of large-scale decontamination approaches.

    Journal of applied microbiology·2012
    Same author

    Telemedicine is poised to revolutionize the practice of medicine.

    Health data management·1994

    Area of Science:

    • Health Informatics
    • Healthcare Administration
    • Health Economics

    Background:

    • The healthcare industry faces challenges in adopting electronic data interchange (EDI) for transactions.
    • Despite some successes, widespread implementation of EDI by commercial insurers and managed care plans remains limited.
    • The transition to automated healthcare transactions is a key area of focus for improving efficiency.

    Purpose of the Study:

    • To assess the current adoption status of electronic data interchange (EDI) in the US healthcare system.
    • To identify barriers and facilitators influencing the shift towards automated healthcare transactions.
    • To understand the perspectives of payers and providers regarding EDI implementation.

    Main Methods:

    • Analysis of the current state of EDI adoption among commercial insurers and managed care organizations.
    • Identification of reported reasons for slow progress from payer perspectives.
    • Examination of provider concerns regarding the pace and financial responsibilities of EDI automation.

    Main Results:

    • Most commercial insurers and managed care plans are in the early stages of EDI adoption.
    • Encouraging signs include increasing payer incentives for provider automation.
    • Key barriers cited by payers include cost, lack of standard formats, and health reform uncertainties.

    Conclusions:

    • The adoption of electronic data interchange (EDI) in healthcare transactions is progressing slowly.
    • Payer-cited reasons for delays contrast with provider concerns about the pace and financial burden of automation.
    • Further efforts are needed to overcome barriers and accelerate the adoption of EDI in healthcare.

    Related Experiment Videos