Risk and Relax: Taking Charge of Reporting and Reimbursement 

Understanding Risk In addition to everything else, today’s practice managers and practitioners need to have a basic understanding of risk adjustment; a statistical process that takes into account the underlying health status and health spending of the enrollee in an insurance plan when looking at their health care outcomes or care costs. A risk adjustment … Click to continue reading

More Evidence That Serving Low-Income Frail Elderly Is Bad Business

More Evidence That Serving Low-Income Frail Elderly Is Bad Business. Congress, and the CMS, have near-universal authority to manage Medicare.  The ACA, MACRA/MIPS, and the IMPACT Act, are all intended to improve access, quality, and affordability of care for Medicare Beneficiaries.  The frail, low wealth, elderly constitute the majority of Medicare’s most costly participants. We … Click to continue reading