Recently, I reviewed the Medicare Hospital Value-Based Purchasing (VBP) scores for three hospitals recognized nationally for outstanding care and patient safety. They didn’t look good. The ratings for clinical outcomes […]
Knowledge Lab Post
L. Gordon Moore and Donna Smith discuss how appropriate documentation and coding of hierarchical condition categories (HCCs) can have a significant impact on payment in a value-based system.
Over the past 10 years, Medicare Advantage (aka Medicare Part C) has become increasingly popular among beneficiaries and health plans. Seniors enjoy significant monthly cost savings over Original, fee-for-service Medicare, […]
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 […]