This is a summary of Chapter 5: Health Management Information Systems (HMIS): Linking Payers and Providers (a 2009 update) in the book - Designing and Implementing Health Care Provider Payment Systems: How-To Manuals.
This summary highlights the frequently changing area of health information systems and the components needed—information systems for providers, information systems for payers, and the electronic links between the two. Also highlighted are different functions of both payer and provider systems and appropriate ways to implement them.
An HMIS offers to strategic purchasing arrangements in particular, and to health insurance schemes in general, the ability to streamline their core business processes, to standardize the quality of care provided, and to monitor clinical practice guidelines for evaluation and diagnosis.