Inside Angle

From 3M Health Information Systems

Tag: risk adjustment

Blog Post

Implications of the 2019 Medicare Advantage Part 1 Advance Notice

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

Article: Embrace risk adjustment

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

Video: What They’re Watching: Jason Burke

Find out how technology can help identify & remove waste so the focus can shift to care quality.

Blog Post

Value-based payment means risk adjustment for effective revenue cycle management

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

Pay for better risk-adjusted outcomes and let’s cut down on waste

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

HCCs: A frequent factor in the value equation

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

HCCs for risk adjustment anyone?

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

Risk adjustment – the soft underbelly of healthcare system reform

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

A fundamental algorithm for health analytics

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

First steps in population health management: Setting up a population health management team

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

Innovative payment models for complex populations

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

The value of measuring complex outcomes

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 […]