If you work with risk adjustment coding, chances are you’ve seen some recent news from the Office of Inspector General (OIG) announcing findings for audits performed. OIG audits aren’t new, […]

In 1997, the Balanced Budget Act established a new part of Medicare called “Medicare + Choice” or Medicare Part C. Under this program, the federal government outsourced administration of Medicare […]

The 3M Health Policy Executive webinar series highlights our clients’ efforts to advance care outcomes and equity. In October, we were joined by Teresa Pickering, chief information officer (CIO) of […]

For the past year, I’ve been immersed in the world of hierarchical condition category (HCC) coding. It’s been a great opportunity to dig deeper into everything related to risk adjustment […]

I sat down with Dr. Sandeep Wadhwa, 3M Health Information Systems global chief medical officer, to talk about the growing buzz around the payvider model and how providers can determine […]

A recent letter from the Centers for Medicare & Medicaid Services (CMS) to State Medicaid directors reminded me again of the critical importance of data-driven decision making and outcomes measurement […]

It is widely recognized that the U.S. experiences more deaths per pregnant mother than seems reasonable for a wealthy country with an advanced health system. In fact, there are 17.4 […]

I sat down with the 3M Health Information Systems Vice President of Regulatory and Payer Solutions Megan Carr to talk about her new role as the leader of our payer […]

Clayton Christensen was a management professor at Harvard Business School and one of the founders of the “Jobs to Be Done” theory. Christensen theorized that companies err when trying to […]

Can health plan value be distilled down to a single score? Would it reveal anything meaningful and if so, how could that information be used? While working for Texas Medicaid, […]

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 […]

Explaining what we do for 3M isn’t always easy. Truth is, for most 3Mers, the minute you tell someone that you work for 3M, they ask you if you make […]