The Six Essential Attributes for Actionable Clinical Data
Want to know if your clinical data is high quality and fit for purpose? Examine it for these six attributes.
The Real Cost of CMS Star Ratings
Medicare Advantage (MA) plans are dealing with some notable setbacks and losses in projected earnings per share because of falling Star Ratings.
Why You Should Take Heed of HEDIS
Already used by more than 90% of US health plans, HEDIS® measures will only grow in significance as value-based care and population health programs gain momentum.
Accelerating ROI for Clinical Data Tech: When a Member’s Health is on the Line
Realization of technology investments is critical for improving STAR ratings and HEDIS® measures in a timely manner and for producing the outcome and performance measures required in value-based care contracts.
Overcoming the Barriers of Value-Based Care Adoption
Over a decade of programs championed by the Center for Medicare and Medicaid Innovation, focusing on accountable care and bundled payments, have had some notable successes. Private value-based care arrangements, structured by health plans and state Medicaid departments have had some significant achievements.
Improve Performance Measures with Tips from an NCQA Expert
Watch former NCQA executive vice president Michael Barr discuss the challenges of obtaining quality data and how to fill the EHR data gaps.
The New Healthcare Truths of 2023
Many facets of healthcare remain in a state of flux at the close of 2022. Verinovum’s SWAT (Strategic Workforce and Tactics) team has been closely following these trends and has made predictions about how nine of them might play out in 2023.
Impact of a Divided Congress on Healthcare & Health Policy in 2023
The midterm election cycle has come and gone. A divided government means that it is highly unlikely that Congress, and specifically the House, will pass any monumental policies that would face defeat in the senate or a veto from the Executive Branch. What does this mean for healthcare and health policy in 2023?
Report Card – Looking Back on the New Truths of 2022
Each year, the Verinovum team makes predictions about what the new year will bring for healthcare, and 2022 proved to be another eventful year. So, how’d we do in our New Truths of 2022 predictions?
Using High-Quality Data to Demonstrate What Members Prize Most: Health Plan Value
Competitive pressures and complex regulatory plan performance reporting requirements create an additional challenge – acquiring correct and accurate data to demonstrate the best possible value to potential members, governmental agencies, and employer purchasers.