In this blog we take a look at risk-adjustment models used in population health. There are two related but distinct uses for population risk models – payment and population health […]
Do your current quality measures align with the shift to value-based care? As a payer, what questions should you be asking? Find out in this latest eGuide.
Health status can be defined succinctly as, “the range of manifestation of disease in a given patient including symptoms, functional limitation, and quality of life, in which quality of life […]
In the MedPAC October meeting, the commission returned to the seemingly intractable problem of equalizing access to health care for rural communities. Medicare payment offers three sources of support within […]
Magill and colleagues published a nice analysis of the staffing costs of a Patient-Centered Medical Home (PCMH). Compared to a regular practice that already has an electronic medical record, they […]
Blue Cross and Blue Shield of Nebraska has been able to control the cost of health care and keep premiums low. Their strategy: value-based contracting.
In a recent blog we made the case for quantifying the net effect of drugs upon health expenditures so as to make more rational decisions. Providing information about costs and […]
To strengthen care management, Blue Cross Blue Shield Nebraska uses predictive analytics to identify members most in need of care.
…for the engine to pick up steam. In the past ten years, the train carrying healthcare pricing and quality information has been rolling but the caboose is still waiting at […]
Undertstanding the impact of CDI on quality measures is critical to understanding value-based care. 3M’s Cheryl Manchenton offers specific examples in this webinar.
This blog offers further commentary on the excellent conversation that Paul Levy began in his column, “The Triple Aimers have Missed the Mark.” In his blog, he provides a succinct […]
For the last decade, we have been fortunate enough to work with many state Medicaid programs and commercial payers on reform efforts incorporating outcomes targets for health care providers. The […]