What is Medicare Risk Adjustment (MRA)

What is Medicare Risk Adjustment (MRA)

Documentation is a key factor in Ensure Data Solutions The Center for Medicare & Medicaid Services (CMS) Risk Adjustment Model ensures adequate resources to care for our high-risk Medicare Advantage members. Mandated by the Balance Budget Act (BBA) signed back on...
What is the Primary Care First Model?

What is the Primary Care First Model?

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,...
Data Analytics and Medicare Risk Contracts

Data Analytics and Medicare Risk Contracts

The term data analytics refers to the process of examining datasets to draw conclusions about the information they contain. Data analytic techniques enable you to take raw data and uncover patterns to extract valuable insights from it. When we talk about Medicare risk...
How can Providers work with HMO Risk Contracts

How can Providers work with HMO Risk Contracts

Health maintenance organizations (HMOs) continue to grow and physicians are responding rapidly to the new challenges that are presented. But HMOs want to work with physicians that understand managed health care medical protocol, terminology and financial issues....