by Danica Chapman | Apr 30, 2021 | Current Notes
The greatest uncertainty is members’ health status, which could impact MA organizations’ bidding submission process for 2022. Fortunately, fully vaccinated members are likely to resume in-person care this year, which means MA plans can expect a more consistent... 
by Danica Chapman | Apr 22, 2021 | Medicare
In 2008, Congress passed the Medicare Improvements for Patients and Providers Act (MIPPA). This legislation started the trend for value-based care programs (also known as value-based contracts or risk contracts). The industry then began the transition... 
by Danica Chapman | Apr 16, 2021 | Tech
Healthcare tech refers to technology-enabled products and services in healthcare. Distinct from medical devices and diagnostics, healthcare tech focuses on facilitating and enabling healthcare functions. Healthcare tech is a vast, hyper-fragmented field. Individual... 
by Danica Chapman | Apr 8, 2021 | Tech
The Centers for Medicare & Medicaid Services (CMS) released an updated data snapshot detailing the impact of COVID-19 on Medicare beneficiaries, particularly among underserved beneficiaries including racial and ethnic minorities, adults 85 years old and older, and... 
by Danica Chapman | Mar 31, 2021 | Tech
The Centers for Medicare & Medicaid Services (CMS) reported that the use of data analytics in the Medicare program has resulted in millions of dollars in cost avoidance savings and recoveries. Combining relevant data with the right analytical and interpretive... 
by Danica Chapman | Mar 23, 2021 | Uncategorized
Primary Care First is a set of voluntary alternative five-year payment options that reward value and quality by offering an innovative payment structure to support the delivery of advanced primary care. In response to input from primary care clinician stakeholders,... 
by Danica Chapman | Mar 16, 2021 | Current Notes
Can a patient have and not have diabetes at the same time? According to private insurers participating in the Medicare Advantage program, the answer is yes. The data architecture of Medicare Advantage is vulnerable to fraud perpetrated by the Medicare Advantage... 
by Danica Chapman | Mar 12, 2021 | Current Notes
Today, the Centers for Medicare & Medicaid Services announced the final list of participants approved to take part in CMS’ Emergency Triage, Treat, and Transport (ET3) Model, a payment model that aims to provide greater flexibility to ambulance care teams to... 
by Danica Chapman | Mar 8, 2021 | Health
In the past decade the Medicare fee for service have seeing several changes, leading by programs that seek to create higher quality and more affordable care for Medicare beneficiaries. A common feature across these programs is the increasing emphasis on Population... 
by Danica Chapman | Mar 1, 2021 | Health
Population health management is the collection of patient data across various health information technology resources, and the interpretation of that data into an actionable patient record. Population health management seeks to improve the care and health results of a...
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