Blog

Reducing the impact of COVID-19 on risk adjustment and quality scores – Telehealth

Prospective risk scores used to pay Medicare Advantage (MA) health plans in 2021 are trending lower than forecasted because routine medical services have been canceled or postponed due to COVID-19.
Read More

Latest CMS Radiation Oncology Bundled Payment Model Rule Summary

On September 18, the Centers for Medicare & Medicaid Services (CMS) issued a final rule establishing a new alternative payment model (APM) for radiation oncology (RO) services delivered to Medicare fee-for-service (FFS) beneficiaries.
Read More

So you think your health plan is managing members’ care?

Managing the care and health of populations is harder than anyone expected in the heady early days of PHM and VBC, but solutions that extend beyond analytics can achieve true care management.
Read More

Optimizing telemedicine during COVID-19: The value of an integrated approach

The bumpy transition to VBC has encompassed a growing array of different risk-based models. While many VBC programs initially focused chiefly on quality metrics and not costs, many models today entail true financial risk.
Read More

Principal Care Management Services (PCM)

If you are suffering from one serious chronic condition, then you must know the legitimate benefits of Principal Care Management Services (PCM).
Read More

Bundled Payments – Last Call???

CMS seems to be pulling another about-face on Bundled Payments. So, if you are running a hospital, an IPA, a PO or a large practice, you should know more.
Read More

Getting Ready for Bundled Payments: On Your Mark. Get Set. Go.

There are a number of things that you do right now that will help you be ready to apply for, launch, and successfully manage your BPCI-A program. Explore.
Read More
1 2 3