A Centers for Medicare and Medicaid Services proposal to modify the risk adjustment formula for health insurance exchange carriers could help better predict the costs of healthier enrollees. But ...
Accountable care organization participants aren't convinced the new ACO REACH health equity benchmark adjustment is going to move the needle and enhance care for beneficiaries in underserved ...
On Monday, the Centers for Medicare and Medicaid Service (CMS) announced that benchmark payments to insurers for Medicare Advantage plans would increase by an average of 1.25% in 2016, a departure ...
Medical Care, Vol. 55, No. 7 (July 2017), pp. 706-715 (10 pages) Background: Functional status measures are important patientcentered indicators of inpatient rehabilitation facility (IRF) quality of ...
New research shows that U.S. safety net hospitals could benefit substantially from a new model that accounts for social risk factors like poverty and living in a disadvantaged neighborhood in ...
The Centers for Medicare and Medicaid Services is proposing to phase-in changes to the way it calculates risk adjustment payment to Medicare Advantage plans. Starting in 2020, CMS will calculate ...