Quality

Digging into the Area Deprivation Index

In its recent 2023 Advance Payment Notice, CMS proposed the development of a Health Equity Index as an enhancement to its Medicare Advantage Star Ratings program.  CMS states that “As we further explore this option, we are considering what other data are available and what other social risk factors might be appropriate to include over …

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Money for Nothing: How COVID-19 Could put Provider Value in Dire Straits

Health care costs have been a concern in this country for many decades.  It has been well-documented that the United States spends substantially more on health care services than other developed countries for similar, if not worse, outcomes.  Additionally, high health care costs represent major challenges to government budgets, employer competitiveness, and household finances.  During …

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What you Need to Know about Medicare Advantage Star Ratings and COVID-19

March 26, 2020—While the policy and regulatory environment continues to adapt to the unprecedented challenge of COVID-19 and the focus at this time is appropriately on identification and treatment, in the coming months those in the healthcare industry will begin to consider the longer-term impacts of this pandemic.  For Medicare Advantage (MA) organizations, one major …

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