Archive for category: qrcInsights

As American healthcare transitions from fee-for-service to value-based care, a growing number of healthcare systems will generate a significant portion of their revenue from risk-based payment models. In these new models, caring for more complicated patients results in higher capitation rates. While this may be good news for provider organizations — especially organizations that serve many older or chronically ill patients — there are several steps healthcare systems need to take to ensure success in these new payment models.

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.

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.