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Out-of-Network Patient Migration

Out-of-Network Patient Migration

August 29, 2019Kris GatesNo CommentsHealth EndeavorsCost Containment/Reduction,Medicare, MA, MSSP, & Medicare ACOs

Value-based healthcare organizations are responsible for out-of-network costs when calculating risk scores, benchmarks, cost reduction as it relates to minimum shared savings rate (MSR) and health outcome improvement based on quality metric score, re-admission rates or gaps in care completion rates. So, it’s important…

2.5 Million Medicare Patients

Our analysis of 2.5 million de-identified patients, indicated the average cost of One patient going out-of-network was…

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