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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.
Minimize Compliance Risk: qrcAnalytics Assists Medicare Advantage Organizations
/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.
Pathways to Success: For ACOs, a key to managing two-sided risk is to understand the patient risk adjustment score
/0 Comments/in qrcInsights /by QRC AdminOn December 18, 2018, CMS issued a final rule that creates a new direction for the MSSP Program, generally referred to as the “Pathways to Success” — which is the government’s dramatic redesign of Accountable Care Organization (ACO) Programs. The rule is complex, but the basic change is simple:
Bringing clarity to the complexity of simultaneously managing quality, risk, and cost.
/0 Comments/in qrcInsights /by adminEvery month, qrcAnalytics moves 5 million lives through our qrcEngine™. We process data quickly and accurately, supplying actionable insights for C-suites and providing clinical data sweeps that generate reports to focus the work of auditors and clinicians.