All Posts By Gordon Moore
With the unrelenting pressure to reduce unnecessary costs in healthcare delivery and despite (or maybe because of) the lack of clear direction from the federal government, Medicaid plans across the […]
As a physician, I am responsible for coding certain diagnoses that will trigger certain payment and risk adjustment. Risk adjustment scores are important in terms of quality measures and they […]
Every year, most health plans are rated on quality by the National Committee for Quality Assurance (NCQA) with Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS gets most of its […]
In this webinar, experts L. Gordon Moore and Erika Johnson discuss using risk adjustment to reveal variation in health care.
An interesting convergence of articles flowed over my laptop recently: 1: Becker’s ACS Review: The 11 things payers, providers really think about value-based care: Seventy-five percent of health plan executives […]
Doctors work really hard to take care of their patients, but find the technology at their fingertips is more of an obstruction and friction than a resource. Natural language processing […]
Implantable cardioverter-defibrillators (ICDs) can save a person’s life when they detect a dangerous heart rhythm and correct it by delivering a shock to the heart. For another person it might […]
Value-based purchasing and population health management are supposed to change aspects of the relationship between insurers (health plans) and providers (accountable care organizations, health systems, etc). New contracts are supposed […]
One premise of improving population health outcomes rests on the idea that we can be more pro-active in healthcare delivery. In addition to reacting to the “reason for visit” we […]
Learn how to consistently capture the most complete and accurate HCCs and RAF scores for your patient population.