The trend towards value-based payments has been accelerating. There is a significant opportunity for reducing spending while improving quality across many areas of health care, including primary care, oncology, orthopedic […]

In New York State (NYS), as the final results for measurement Year 2 are solidifying, Value-based Payment (VBP) pilot programs are starting. The VBP pilots do not have an easy […]

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 […]

Now that the masses have returned home from either the inauguration or protests in our nation’s capital, the Legislative and Executive branches have begun the daily scrum of governing. Given the polarized […]

Everyone, except for the measurement industry, seems to agree that we have too many metrics1 for measuring performance. An increasing number of individuals and organizations are also saying that the […]

We all know the Trump administration’s commitment to repeal and replace key components of the Affordable Care Act. What we don’t know is what that will look like or how […]

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 […]

If you are interested in improving population health outcomes and by so doing reduce the trajectory of cost increases, it is useful to reflect on the foundations of high performing […]

One surprising development as health care shifts toward risk-based payment is how many health systems intend to become insurers. According to one study, half of health systems have applied or […]

The healthcare needs of Americans are vast and complex.  The ultimate goal of any healthcare system is to create the conditions necessary for a population to not only maximize total […]

The integration of behavioral health and primary care is a critical factor for healthcare systems to achieve the Triple Aim (lower cost, better outcomes and a positive patient experience), yet […]

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 […]