2021 Best In KLAS Release of Information

To meet CMS requirements for the submission of risk adjustment data and ensure they are being fully reimbursed by CMS, payer organizations need increasingly specific coding information, and these requests for information can put undo administrative burdens on provider organizations. Seeking to increase the payer organization’s access to needed information without increasing the provider organization’s workload, the collaborators in this case study established an API that enables an automated, standardized retrieval process for records that the payer organization needs in order to complete managed care audits.

Perception

Patient Perspectives on Patient Engagement Technology 2022

26 May 22 | Adam Cherrington and Dan Czech

The pandemic has emphasized the need for healthcare organizations to better accommodate patients’ needs and decrease barriers to effective care. However, patients are frequently absent from discussions around healthcare information technology (HIT). In KLAS’ previous report on the patient perspective , we discovered a lack of alignment between patients’ engagement technology priorities and those of provider organizations and vendors. Since then, KLAS has sought to gain a deeper understanding of what is needed from vendors and providers to drive greater alignment with patients. This report seeks to highlight the patient voice and is one of many KLAS initiatives aimed at more deeply understanding and measuring the patient perspective on HIT.

Accelerating an ongoing healthcare trend, the Department of Health and Human Services’ Office for Civil Rights has proposed changes that would strengthen a patient's right to gain access to their own health information. Swellbox provides tools and support to empower patients to access their PHI. This report looks to validate the outcomes and satisfaction of Swellbox clients on this important topic.

The release of information (ROI) services market is a well-established segment with generally high overall client satisfaction. Market share leader Ciox Health and 2021 Best in KLAS winner MRO have long-standing experience in ROI; Sharecare and Verisma have smaller customer bases but are widening the field of options for healthcare organizations. To understand these firms’ strengths and areas of opportunity, this report explores their retrieval accuracy, ability to work with third-party requesters, and staff quality.

Company/solution	Overall score	Total evaluations	Trend (2020-2021)	Loyalty	Operations	Relationship	Services	Value	Censinet assessment

MRO Corp	89.2	n=53	0%	A-	B+	A-	B+	B

Ciox Health Ciox Health	85.9	n=46	0%	B+	B	B+	B	B
	50.0	100.0		*Limited Data

Company/solution	Trend (2020-2021)	Culture	Loyalty	Operations	Product	Relationship	Value

MRO Corp 89.2 n=53 COMMENTS	0%	A-	B+	A-	B+	B
Ciox Health Ciox Health 85.9 n=46 COMMENTS	0%	B+	B	B+	B	B

Company/solution	Overall performance score	Total evaluations	Loyalty	Operations	Relationship	Services	Value	Censinet assessment

Verisma * L	91	n=13	A	B+	A	B+	B+

Company/solution	Overall performance score	Total evaluations

Verisma * L loyalty A operations B+ relationship A services B+ value B+	91	n=13

Release of Information

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