Shifting from volume-driven to value-based healthcare wouldn’t be so difficult if value meant just one thing. But every payer and value-based program defines value to suit its own purposes—on good […]
I paraphrase, but this is essentially the question we hear from providers when we talk about ICD-10 coding accuracy. Most recently, I was asked this question by an HIM department looking […]
CMS is moving to shift healthcare payments from traditional fee-for-service models to value-based reimbursement (VBR). How prepared is your organization to successfully receive accurate reimbursement for your patient population?
So, this month I am taking a slight detour. Instead of continuing to dissect AHRQ version 6.0 changes, I would like to reflect on providers and quality. I promise to […]
The results of a recent study from the University of Michigan’s Institute for Healthcare Policy and Innovation on payment rewards and penalties for Michigan hospitals participating in the Medicare Comprehensive Joint […]
In my previous blog, I addressed concerns about the new Sepsis 3 definitions. In this blog (part 2), I will further flush out implications for specific quality metrics and also […]
Gain an in-depth understanding of HCCs and learn how they are used today in population health management and value-based purchasing.
As we move towards a care system focused on population health, HCCs can determine patient disease risk and help hospitals analyze their populations.
So there are PPCs and HACs, PPRs and PPAs, PSIs and VBP just to name a few. But please don’t forget or underestimate the importance of HCCs. Why should you […]
3M’s Donna Smith explains how Hierarchical Condition Categories (HCCs) are beings used to predict care costs using various data points.