Building a Foundation for HEDIS Success Amid Change
Strategic planning for the upcoming measurement year should incorporate thorough communication between the health plan, its HEDIS vendor, and auditor.
Connected Care, Shared Goals: Designing Whole-Person Care for Complex Patient Populations
As the safety-net landscape shifts and funding uncertainty grows, the path forward is clear. By investing in highly coordinated, data-informed care and aligning health plans, providers and communities around shared goals, we can build a system that reaches individuals with complex care needs, supports whole-person health initiatives and strengthens care across the board.
NEMT Partner Guide: Why Payers and Providers Should Choose MediDrive’s TMS
Alan Murray on improving access for medical transportation.
How Medicare Advantage Plans Can Prioritize Quality Amid Continued Turbulence
Organizations with underperforming Medicare Advantage plans can, and should, start taking steps now to establish a strong foundation that can sustain long-term success
What the Medicare Quality Rating Change Means for Healthcare Companies — and Patient Health
SMS is reevaluating its Star Ratings. Not only do health plans stand to benefit from the new calculations — all healthcare companies and millions of patients will reap the rewards.
UPMC Enterprises’ latest spinout uses natural language processing to enhance care quality
Astrata, a spinout of UPMC's innovation arm, has developed natural language processing tools that can help providers and payers adhere to quality measures. This can, in turn, help healthcare organizations bolster their finances as reimbursement is increasingly being tied to these measures.