Are You Ready For Changes In The California IHA AMP Program?

As healthcare continues to transition to value-based care, government and payors are required to assume greater levels of risk. Healthcare organizations need to prepare for two-sided risk to fulfill this requirement and take advantage of the numerous incentives available. If you are currently participating in a no risk program, now is the perfect time to learn how to manage care and use claims data as a tool for success while becoming comfortable with taking on more risk.

Are You Risk Ready? – Transitioning to Value-Based Care

As healthcare continues to transition to value-based care, government and payors are required to assume greater levels of risk. Healthcare organizations need to prepare for two-sided risk to fulfill this requirement and take advantage of the numerous incentives available. If you are currently participating in a no risk program, now is the perfect time to learn how to manage care and use claims data as a tool for success while becoming comfortable with taking on more risk.

2021 Direct Contracting Models – What Healthcare Organizations Need to Know

The Centers for Medicare & Medicaid Services (CMS) Innovation Center recently announced that it will begin the first performance year of the Direct Contracting model for the Professional and Global options on April 1, 2021. The new start date reflects a three-month delay to account for coronavirus (COVID-19) pandemic.

qrcAnalytics Awarded MY2019 NCQA-AMP Vendor Certification

qrcAnalytics, an analytics and service company that develops innovative technology and services for value-based healthcare organizations is pleased to announce it has met the requirements specified by the National Committee for Quality Assurance (NCQA) for Align Measure and Performance (AMP) Certification for MY2019 (Measurement Year 2019).

COVID-19 Impacts Risk Adjustment and Telehealth

“Medicare beneficiaries are at the greatest risk of serious illness due to COVID-19 and CMS will continue doing everything in our power to protect them” said CMS Administrator, Seema Verma. “Today we announced guidance to Medicare Advantage and Part D plans to remove barriers that could prevent or delay beneficiaries from receiving care”.

How Technology is Responding to the Coronavirus Pandemic

The Office of Science and Technology Policy released an article on March 16, 2020, titled a “Call to Action to the Tech Community on New Machine Readable COVID-10 Data Set”. The article is in part a call to action to the nation’s artificial intelligence community to develop new text and data mining techniques that help the community answer high-priority scientific questions related to the virus.

COVID-19 Free Offer of Support

In an effort to do our part in the face of the Coronavirus pandemic, qrcAnalytics is offering a free analysis report targeting COVID -19 comorbid conditions. This report will assist you in identifying your members at high risk for mortality due to the COVID-19 virus and their existing comorbid conditions.

Two Key Changes to the CMS-HCC 2020 Model

The Center for Medicare & Medicaid Services (CMS) contracts with Medicare Advantage Organizations (MAOs) and pays Medicare Advantage (MA) plans for managed health care based on a monthly fee per member. The payment is based on the future health care needs and the sickness burden of its members. MA is an alternative to the traditional fee-for-service Medicare.

Accuracy, Data and Integration – Success in Risk Adjustment & Quality

The Center for Medicare & Medicaid Services (CMS) contracts with Medicare Advantage Organizations (MAOs) and pays Medicare Advantage (MA) plans for managed health care based on a monthly fee per member. The payment is based on the future health care needs and the sickness burden of its members. MA is an alternative to the traditional fee-for-service Medicare.

Minimize Compliance Risk: qrcAnalytics Assists Medicare Advantage Organizations

The Center for Medicare & Medicaid Services (CMS) contracts with Medicare Advantage Organizations (MAOs) and pays Medicare Advantage (MA) plans for managed health care based on a monthly fee per member. The payment is based on the future health care needs and the sickness burden of its members. MA is an alternative to the traditional fee-for-service Medicare.