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Explore our news, expert insights and case studies to see how we bring clarity to the complexity of healthcare quality, risk and cost.
Explore our news, expert insights and case studies to see how we bring clarity to the complexity of healthcare quality, risk and cost.
Let us show you what we can do with your data. Our Technology and Domain Experts have developed a tool that will provide an assessment of your current performance and will provide actionable recommendations on how you can improve the effectiveness of your Quality/Risk operations.
Are You Ready For Changes In The California IHA AMP Program?
/0 Comments/in qrcInsights /by Gene RondenetThe California Value Based Pay for Performance (VBP4P) program is the largest alternative payment model in the United States. It predates healthcare reform by almost a decade. The program was launched in 2001 as a statewide initiative managed by the Integrated Healthcare Association (IHA) on behalf of 10 health plans. The VBP4P has been deploying quality measure sets and reporting results and the program is the longest running example of the power of the transition to value-based care.
Are You Risk Ready? – Transitioning to Value-Based Care
/0 Comments/in qrcInsights /by Kathy OrmsbyAs 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
/0 Comments/in qrcInsights /by Kathy OrmsbyThe 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.