In the complex world of healthcare, the importance of accurate coding and billing cannot be overstated. For healthcare providers participating in Medicare Risk Adjustment (MRA) programs, coding compliance is crucial in ensuring that patients receive the right care and that healthcare organizations meet legal and financial obligations. Non-compliance can lead to significant financial risks, regulatory…
Presidential transitions are always a time of great change, but few leaders have ushered in a shift as sweeping as the rewiring of one-seventh of the U.S. economy. President Trump has the opportunity to do just that by doubling down on the health transformation achievements of his first term. A key to success is continuing the…
Black Book Research, a leading independent healthcare research firm, has released its highly anticipated 2025 rankings of top-rated vendors in population health and value-based care solutions. Based on direct client feedback from 2,230 healthcare professionals across hospitals, physician organizations, health plans, and accountable care organizations (ACOs), the report identifies the most trusted and effective technology…
Download Slides Join us for a deep dive into the latest policy and regulatory updates shaping the future of value-based care (VBC). Led by James Pelletier, National Director of Provider Quality at MRO, the webinar provides actionable insights to help you adapt and thrive in this evolving landscape. James will be joined by Maria…
A Feb. 24 discussion among hospital system executives at the Value-Based Payment Summit focused on the challenges and opportunities they face in transitioning to value-based care. They discussed barriers such as data management, infrastructure costs, and risk adjustment methodologies, as well as where they expect to focus their efforts in the future. Rural hospitals can…
Few buzzwords are as popular in healthcare as “value-based care.” But understanding of the term is often superficial, according to Alex Ding, MD, enterprise deputy chief medical officer at Humana. The company published its annual value-based care report in February. The annual report provides data on savings and outcomes achieved through value-based care — but…
One question is whether these results apply to other health plans beyond Medicare Advantage contracts and whether certain types of contracts may be more affected by disasters than others. For example, larger health systems may be able to triage patients to other sites of care and shift patients to facilities that are unaffected by disasters…
Value-based programs have a triple aim: better care for patients, better health for populations and lower cost of health care, according to the U.S. Centers for Medicare & Medicaid Services (CMS). By 2030, CMS has a goal of 100% of Traditional Medicare beneficiaries and a vast majority of Medicaid beneficiaries participating in accountable care relationships….
Download Slides As value-based care organizations continue to demonstrate success and optimize their approaches, the importance of building the right value-based care (VBC) network has become increasingly important. No longer are organizations blindly creating VBC rosters. Organizations, and ultimately patients, depend on actionable insights and robust data to serve as the foundation for high-quality…
The staggering reality that health care could soon account for one fifth of all domestic spending has put a bull’s eye on health care cost control. Is your ACO, health system, or physician organization ready to manage the coming congressional budget cuts? The only effective way to tackle Total Costs of Patient Care (TCoC) without…