Industry Insights

A recent poisting on the Better Health blog recommends four books to better understanding the US healthcare system:

A new report was recently released by CMS that measures the accuracy of the risk adjustment models that CMS utilizes for Medicare Advantage plans, the Physician Group Practice demonstration and others, and is expected to be used for Accountable Care Organizations (ACOs). This report provides some interesting insights into the effectiveness of risk adjusters.

How to prepare for your next employer while your current employer is using outdated technology

 
Several years ago I worked on projects for four different clients that involved evaluating a change in the payment methodology of a major payer.  This change had a major impact on revenue, and required analysis of historical data to estimate its effects.