Dissertation/Thesis Abstract

IntegratedDirect (ID): Bringing Interoperability to Insurance Companies for Better Coordinated Care
by Lorenzo, Linette, M.S., California State University, Long Beach, 2020, 63; 28030063
Abstract (Summary)

In the United States, our healthcare system often operates as a fragmented system in which different provider offices, hospitals, insurance companies, or behavioral health organizations do not communicate with each other due to the different Electronic Health Record (EHR) systems being used. This results in duplicate examinations, failure to obtain all medical records needed to treat patients, raised healthcare costs, denials of services due to insufficient information, and patients not getting the right services at the right time. IntegratedDirect (ID) is a for profit cloud-based organization that focuses on serving health insurance companies and ensuring that their contracted providers and agencies are able to share medical records with the insurance company more seamlessly. IntegratedDirect partners up with insurance companies to provide them with the necessary medical records needed for every member enrolled to approve necessary services, successfully ensure that providers are meeting quality metrics, and provide better coordinated care for patients. Not only would insurance companies have the capability of utilizing medical records through IntegratedDirect’s system, but any provider under the umbrella of the insurance could have access to medical records to provide the best service possible. In addition, patients enrolled in the insurance would also have access to their own records as needed through a portal application. IntegratedDirect helps bridge gaps in care through its unique ability to fully “ID” any member enrolled under the insurance company to achieve true interoperability.

Indexing (document details)
Advisor: Gerard, Nathan
Commitee: Erlyana, Erlyana, Gotz, Cindy
School: California State University, Long Beach
Department: Health Care Administration
School Location: United States -- California
Source: MAI 82/5(E), Masters Abstracts International
Subjects: Health care management, Public policy, Public administration, Public health
Keywords: Interoperability, Insurance companies, Coordinated care, ID , United States healthcare system, Behavioral health organizations, IntegratedDirect , Medical record access, Insurance enrollment
Publication Number: 28030063
ISBN: 9798691282836
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