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HIMSS Symposium February 21, 2011 Financing Oregon HIE

HIMSS Symposium February 21, 2011 Financing Oregon HIE. Oregon HIE Landscape. 2. The HIT & HIE Financing Problem. Fundamental HIE financing problem: mismatch of costs vs. benefits Most costs at individual organizations, most benefits community-wide No driving imperative before ARRA

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HIMSS Symposium February 21, 2011 Financing Oregon HIE

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  1. HIMSS SymposiumFebruary 21, 2011Financing Oregon HIE

  2. Oregon HIE Landscape 2

  3. The HIT & HIE Financing Problem Fundamental HIE financing problem: mismatch of costs vs. benefits Most costs at individual organizations, most benefits community-wide No driving imperative before ARRA Vest & Gamm article JAMIA 2010: “Health information exchange: persistent challenges and new strategies”

  4. HIE Financing Issues • Oregon HIE approach: leverage local efforts, central services to support local HIOs, cover gaps • Local HIOs • Multiple financing options • Core central statewide services • Federal sources (ONC, CMS) – start-up, short term • Grants, philanthropy, state-funding requests • Services and fees – will be slow to develop, avoid competing with local HIOs • Statewide ancillary service • Continue to explore for sustainable revenues

  5. HIE Value Propositions – Examples

  6. Potential Savings/Incentive Payments Potential Hospital Incentive Payments Estimated Percentage of Oregon Physicians Potentially Eligible for Incentive Payments Potential: >$135 million [3000 EPs]

  7. Estimated Avoided Service Savings by Payer Category – Per Member Per Year (1) Includes insurance plans and self-insured plans as well as VA and some other residual categories 7

  8. Resources Vest & Gamm article: http://jamia.bmj.com/content/17/3/288.abstract HITOC: http://www.oregon.gov/OHPPR/HITOC/ Finance Workgroup: http://www.oregon.gov/OHPPR/HITOC/Phase_1/Workgroups/Finance_Workgroup/FinanceWG.shtml Oregon Strategic Plan: http://www.oregon.gov/OHPPR/HITOC/Documents/SandOpPlans201008/HIEStrategicPlanOR.pdf Oregon Operational Plan: http://www.oregon.gov/OHPPR/HITOC/Documents/SandOpPlans201008/HIEOperationalPlanOR.pdf

  9. For More Information Dave Witter Witter & Associates witterdave@aol.com 503-819-6593

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