Blog Post
January 10, 2018 / By Gretchen Mills
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 […]
Knowledge Lab Post
With Donna Smith, RHIA
This article details how coders can enhance their careers by becoming proficient in the finer points of the latest payment methodologies.
Knowledge Lab Post
Find out how technology can help identify & remove waste so the focus can shift to care quality.
Blog Post
May 3, 2017 / By Kristine Daynes
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 […]
Blog Post
April 19, 2017 / By Richard Fuller, MS, Norbert Goldfield, MD
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 […]
Blog Post
February 20, 2017 / By Kristine Daynes
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 […]
Blog Post
October 17, 2016 / By Jeremy Zasowski
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 […]
Blog Post
September 21, 2016 / By Norbert Goldfield, MD, Richard Fuller, MS
Last month, an article appeared in Modern Healthcare lauding the achievement of New York’s Bellevue Hospital in reducing readmissions to their facility. The article raised a number of issues relating […]
Blog Post
August 19, 2016 / By Kristine Daynes
So much hope is invested in health data. As technology zooms into the 21st century (wearables, predictive modeling, precision medicine), health data organizations are scrambling to keep up. The promise […]
Blog Post
August 3, 2016 / By L. Gordon Moore, MD
Let’s assume you’re about to sign a contract to manage a population of several thousand. The goal of the contract is to improve care delivery, improve outcomes and reduce the […]
Blog Post
July 20, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD
In developing our classification tools we are continually called upon to make judgement calls on the relative clinical complexity of individuals and the interaction between comorbid chronic conditions on quality […]
Blog Post
February 1, 2016 / By L. Gordon Moore, MD
Improving the rate of mammography or colorectal cancer screening for appropriate individuals is a good thing. I suspect that my experience in practice was similar to others: Our group would […]