The Centers for Medicare and Medicaid Services (CMS) has published the final payment policy document for Medicare Advantage plans for the calendar year (CY) 2024. The announcement also included the new CMS-HCC risk adjustment model (v28 or 2024). This new model will replace the current CMS-HCC model (v24 or 2020) in a phased manner. The […]
Impact of the new CMS-HCC 2024 Risk Adjustment Algorithm Read More »
We can talk about Digital Health Startups all day. It’s a darling area for many Angel investors and VCs. At one point, there was a common view, according to a Forbes article, that 98% of Digital Health Startups were zombies. Not sure if that view is still persistent, to be honest. But, what about one
I ran into a year-old article over the weekend that says that some healthcare investors believe that 98% of the healthcare startups are zombies right now (as in last year). I don’t believe it is true (neither does the author of the article, I think), but I agree that Healthcare IT innovation is not easy. In fact, there are
Healthcare IT Innovation Quandary Read More »
As an ACO executive / Health System executive, if you currently have a Healthcare Analytics / Pop Health Platform vendor, most likely you are using their Quality Analytics / Reporting application. In this article, I will suggest some effective means of closing Quality Gaps using such applications. As we know, the Quality Composite Score, alone, has probably the
Two solid tips to close your Quality Gaps in Care Effectively… Read More »
How many times have you wished data were better in Healthcare industry? We run into data issues in EMRs, Data Warehouses, Analytics and especially in Population Health Platforms. We don’t need to even talk about how important feature engineering is when it comes to applications leveraging BIG Data, Machine Learning or Artificial Intelligence. Several Population
Data Hurdle Strategy for Population Health Platforms Read More »
