Only 32% of Medicare Advantage beneficiaries know about the Medicare Advantage Star Ratings, and of those only half used them to make health purchasing decisions, according to new data from...Read More »
Humana convened a group of healthcare experts to build a consensus on the definitions of concepts such as “value-based care” and “population health.” The experts, however, were unable to,Read More »
Following the release of the fiscal year (FY) 2020 inpatient prospective payment system (IPPS) proposed rule at the end of April, the ACDIS and broader CDI communities were...Read More »
“Denied.” It’s a word no one wants to hear in response to their healthcare claims. Yet, it’s more frequently on the lips of both governmental and private payers. Whether it be clinical- or coding-related, denials are an ever-present reality in today’s healthcare environment, threatening the...Read More »
Average hospital readmission rates associated with individual PCPs show almost no variation, so incentivizing PCPs to change practice to lower the rates may not make sense.Read More »
Private health plans paid hospitals 241% of what Medicare would have in 2017, up from 236% in 2015, according to a new study from RAND Corporation. Though the study found that prices paid to hospitals by private...Read More »
