In an era of unprecedented data access, how can you leverage data to benefit your patients and populations?
On December 27, 2017, CMS published Part 1 of this year’s Medicare Advantage (MA) Advance Notice highlighting proposed changes in MA payments for 2019. CMS requires comments on this Part […]
This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.
In this webinar, experts L. Gordon Moore and Erika Johnson discuss using risk adjustment to reveal variation in health care.
Find out how technology can help identify & remove waste so the focus can shift to care quality.
Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]
While Congress is finding it difficult to reach consensus on how to improve health care in the United States, the one thing we all can agree on is that ever-rising […]
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 […]
Introduction Achieving New York’s goal of moving 80-90 percent of managed Medicaid dollars to Value-based payment (VBP) arrangements by 2020 will certainly be a challenge. Most MCOs will need to […]
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?
3M’s Cathy Machacyk, RN, BSN, reviews Comprensive Joint Replacement bundled payments in this webinar.
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 […]