A recent survey in Healthcare Informatics  on physician readiness for implementing MACRA indicates a strong need for assistance and support.  The overall results of readiness of physicians polled show that […]

Beginning October 1, the grace period ends for Medicare part B ICD-10 diagnosis coding. For those of you who heard the news but not the details, here is a quick […]

CMS recently announced the 2015 financial and quality results for nearly 400 Medicare ACOs. My 3M colleagues and I were eager to sift through the data for insights to help […]

There is an interesting concept called per capita premium subsidy that was included in the MedPAC June 2016 report to Congress and the Republican white paper related to reforming healthcare.  […]

Our recent article, “Implementing a Site-Neutral PPS,” published in the HFMA journal, highlights the potential for a reform currently making its way through the legislative process. The proposed legislation—referred to […]

When was the last time you saw a government program, any government program, implemented ahead of schedule? Or on time, for that matter? We’ve grown accustomed to setbacks and delays […]

The ultimate goal of the Triple Aim is to address the problem that healthy communities create for hospitals and other healthcare providers. Under the fee-for-service model, providers make money treating […]

Responding to value-based-purchasing, provider groups across the US are implementing or tweaking programs to reduce unnecessary hospital readmission or emergency department visits. Much of this is stimulated by Medicare’s plans […]

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 […]

So there are PPCs and HACs, PPRs and PPAs, PSIs and VBP just to name a few. But please don’t forget or underestimate the importance of HCCs. Why should you […]

Last week, The Journal of the American Medical Association (JAMA) published the results of a study that showed that the Pioneer Accountable Care Organization (ACO) Model achieved almost $400 million […]

Yes, there are ICD-10 codes for exceedingly rare ways to die, and yes, they are easy to parody. This does not matter at all, since not many people are admitted […]