How easy is it to implement bundled payment? Depending on your team and key policy choices, easy is relative. You can avoid pitfalls and experience a relatively stress free, structured […]

Facing the imminent insolvency of the Medicare Part A hospital insurance trust fund, Congress passed legislation in 1983 that implemented the Medicare Inpatient Prospective Payment System (IPPS). The IPPS was […]

More than 50 million people worldwide and 6.5 million Americans are living with Alzheimer’s disease. It is responsible for up to 70 percent of dementia cases and represents a significant […]

Measuring nursing facility quality has been an important topic since the advent of Medicare and Medicaid programs. While some steps have been taken, much more work is still needed to […]

Risk adjustment is used primarily to predict health care costs based on the relative risk of members or patients. Risk adjustment is designed to mitigate the impacts of potential adverse […]

Medicare beneficiaries in low socioeconomic status (SES) areas have fewer physician and care management visits and are less likely to be admitted from the emergency department for low severity medical […]

I sat down with 3M Health Information Systems Business Director of Grouper Applications and Payer Services Susan Salek to discuss 2022 trends for payers and how 3M methodologies were created […]

As I hopped on an Amtrak train to go to a meeting (something I haven’t done in a long time!), I pulled out my laptop to start reading emails – […]

I recently had the opportunity to talk with Chet Stroyny, a program manager for Regulatory and Government Affairs at 3M Health Information Systems, about his 50-year career in the health […]

Many Medicaid programs, health plans, and ACOs are looking for new strategies to offset tight budgets. COVID-19 has dealt severe blows to the economy, state budgets and the provision of […]

The effort to develop vaccines against COVID-19 has been extraordinary and the process to distribute the vaccines needs to be just as successful—not only for the country overall, but also […]

I took advantage of the quieter work environment over the holidays to catch up on my policy reading. The Health Affairs top ten articles from 2019 included “The Forgotten Middle: […]