Health care organizations need to know their data, but they also need to know their objectives. The types and amount of data cleansing they need depends on how they’ll use the data: to track high-risk patients, measure quality, etc.
Medicare Advantage (MA) plans are dealing with some notable setbacks and losses in projected earnings per share because of falling Star Ratings.
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.
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.
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.
Many facets of healthcare remained in a state of flux at the close of 2022 and highlight the need to address the issues of data quality, curation, and utility that are paramount for healthcare’s evolution in 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.
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?
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?
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.