Medicare/Medicaid
Position your organization for success under CMS-HCC V28
The transition from CMS-HCC V24 to V28 heralds a significant shift in risk adjustment methodologies and emphasizes improved accuracy and granularity, promising more equitable resource distribution and significant financial implications for Medicare Advantage plans, ACOs, and other healthcare entities. If you have not started moving toward this new model, there is no time to waste.…
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Best practice tools to build an integrated approach to multimorbidity
The traditional model of treating single diseases no longer works. Data collected from 2016 to 2019 indicated that 32.9% of US adults had multiple chronic conditions—and that attempting to address these issues individually and separately is ineffective and costly. This fact is particularly poignant for Medicaid populations, who are significantly more likely to suffer from…
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Using data analytics to combat the maternal health crisis
With most pregnancy-related deaths being considered preventable, why is the United States facing a maternal health crisis? The country’s maternal mortality rate is the highest of any developed nation in the world and more than double the rate of peer countries.
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Optimizing opportunity in value-based care
Our own Dave Schweppe (Chief Analytics Officer) and David Wolf (AVP, Payer Solutions) sat down with Todd Sauers, Manager of Value-Based Care Analytics at Sentara Health, for a fireside chat to discuss current trends and opportunities in value-based care. In this vibrant conversation, the experts talked through various perspectives and thoughts on the impact of…
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Seven Steps to Price Transparency for Hospitals
While healthcare consumers have been calling for more price transparency around medical costs, healthcare providers have been more reserved when making this change. The barriers for providers in responding
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Healthcare’s return to “normal” after COVID-19: Is it possible?
As providers determine how to get patients to return to facilities for routine disease management and preventive screenings, opportunities are ripe for the application of analytics to triage at the right time to the right setting. Data related to COVID-19 will continue to flow rapidly, but there are possibly more questions than answers now about a return to “normal.”
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CMS updates payment for certain COVID-19 lab tests
The COVID-19 landscape as it relates to testing is frequently changing as CMS made wholesale changes and smaller adjustments to payment schedules.
Read MoreMississippi Division of Medicaid Remains the First to Establish Clinical Data Exchange
Each year, state Medicaid leaders from all over the country gather at the Medicaid Enterprise Systems Conference (MESC) to talk about the role of technology in meeting Medicaid and industry initiatives, like value-based care. Our client, Mississippi Division of Medicaid (DOM), spoke on their use of the consolidated clinical document architecture (C-CDA) standard to coordinate […]
Read MoreMississippi Division of Medicaid to Become First Medicaid Agency to Exchange Clinical Data
In March, MedeAnalytics announced that the Mississippi Division of Medicaid (DOM) had become the nation’s first Medicaid agency to send and receive clinical data in real-time. The agency worked with MedeAnalytics and Epic to share Medicaid data with the state’s largest provider of care to Medicaid patients, the University of Mississippi Medical Center (UMMC). Following […]
Read MoreWe’re presenting at MESC 2015 to share our success with the Mississippi Division of Medicaid
Tomorrow at MESC Conference 2015, we will be presenting the success of Mississippi DOM’s Medicaid Clinical Provider Portal with the Mississippi Division of Medicaid. If you’re attending come see us at 9:30 a.m. ET in Room 319. The session will cover how the Mississippi Division of Medicaid (DOM) deployed Provider Access, a clinical portal that […]
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