Keep your At-Risk Members Healthy while improving your HEDIS and STAR Ratings

Keep your At-Risk Members Healthy while improving your HEDIS and STAR Ratings Diabetes is a chronic disease that can create downstream health issues if not carefully watched and addressed. In fact, according to the CDC, over 29 million, or 9.3% of the US population suffer from type 2 diabetes. [1] Diabetic patients need to be aware of their elevated risk ...

THE SHIFT TO VALUE BASED PAYMENT: THE LONG AND WINDING ROAD

The long and winding road That leads to your door Will never disappear I’ve seen that road before It always leads me here Lead me to your door -The Beatles If you’ve been around the health care industry for the last 30+ years, you know that the ACA and HHS’ efforts around value based payment, ACOs and the like, are …

Paper Published Today: “Proactively Identifying the High-Cost Population”

Health Care Transformation Task Force Helps Providers and Payers Identify and Manage Complex Patients July 1, 2015, MT KISCO, NY –– The High Cost Patient Work Group, part of the Health Care Transformation Task Force (HCTTF), a powerful new private-sector alliance dedicated to accelerating the transformation of the U.S. health care system to value-based business and clinical models aligned with improving outcomes …

The time is now (real-time) to have accurate Provider Data

Beginning next year, CMS will require health insurers to provide individuals enrolled in Medicare Advantage plans up-to-date details about those plans in real time. More specifically, health insurers will have to contact doctors and other providers every three months and update their online directories to include details about which doctors in the plan are available and taking new patients. This …