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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.
COVID-19 Free Offer of Support
/0 Comments/in qrcInsights /by QRC AdminIn 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
/0 Comments/in qrcInsights /by QRC AdminThe 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
/0 Comments/in qrcInsights /by QRC AdminThe 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.