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Take Aways from RISE Nashville Summit

The 11th Annual RISE Nashville Summit continued the event’s tradition of yearly growth. The return to downtown Nashville was widely applauded by attendees, who were glad to be back near Broadway’s nighttime funk and fun. While festive, this year's event occurred in the wake of the new administration in Washington, D.C., and the healthcare themes surrounding the "repeal and replace" of the Affordable Care Act (ACA) cast a long shadow. In contrast to the upbeat, confident notes struck by last year’s keynote speaker Senator Tom Daschle, this year’s sobering keynote address by Howard Fineman, NBC/MSNBC political analyst, The Huffington Post Media Group global editorial director, and bestselling author, was an assessment of the pluses and minuses of our new president. Mr. Fineman's remarks indicated that the political alliances in power will seek to undo what Senator Daschle viewed as "irreversible” a year ago.... Read More

 

A Brief Introduction to ACO Quality Measures

Tim Buxton, MBA, CPC, CIC, COC, CRC, CCS, CHP December 14, 2015 Affordable Care Organizations (ACO’s) are much in the news; but what is an ACO, and how can we measure its success? ACO’s have been established as interwoven healthcare entities with the intent to coordinate high quality care at a cost savings. They treat traditional Medicare patients, and are compensated by sharing in the savings the ACO achieves for Medicare. One CMS measurement of an ACO achieving its goals are the application and requirement for reporting of Quality Measures. Each ACO must demonstrate that it has met certain requirements regarding the care and satisfaction of its patients.... Read More

 

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Take Aways from RISE Nashville Summit

The 11th Annual RISE Nashville Summit continued the event’s tradition of yearly growth. The return to downtown Nashville was widely applauded by attendees, who were glad to be back near Broadway’s nighttime funk and fun. While festive, this year's event occurred in the wake of the new administration in Washington, D.C., and the healthcare themes surrounding the "repeal and replace" of the Affordable Care Act (ACA) cast a long shadow. In contrast to the upbeat, confident notes struck by last year’s keynote speaker Senator Tom Daschle, this year’s sobering keynote address by Howard Fineman, NBC/MSNBC political analyst, The Huffington Post Media Group global editorial director, and bestselling author, was an assessment of the pluses and minuses of our new president. Mr. Fineman's remarks indicated that the political alliances in power will seek to undo what Senator Daschle viewed as "irreversible” a year ago....
Read More

A Brief Introduction to ACO Quality Measures

Tim Buxton, MBA, CPC, CIC, COC, CRC, CCS, CHP December 14, 2015 Affordable Care Organizations (ACO’s) are much in the news; but what is an ACO, and how can we measure its success? ACO’s have been established as interwoven healthcare entities with the intent to coordinate high quality care at a cost savings. They treat traditional Medicare patients, and are compensated by sharing in the savings the ACO achieves for Medicare. One CMS measurement of an ACO achieving its goals are the application and requirement for reporting of Quality Measures. Each ACO must demonstrate that it has met certain requirements regarding the care and satisfaction of its patients....
Read More

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Qualipalooza: The 2nd Annual RISE Quality Leadership Summit 

This unique event incorporates three conferences presented side-by-side: the Star Ratings Strategic Planning Forum, the HEDIS Forum, and the CAHPS, HOS & Member Survey Forum. Register for one conference for an in-depth examination of a single area, or design your own event by opting for the all-access pass and choosing the sessions from each conference which correspond exactly to your interests.

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Upcoming Webinar

The Impact of Quality Incentive Models in Medicaid Markets

 

Thirty-one of our fifty states now have Medicaid managed care, and several markets are expected to implement managed care in the next few years. More than $160B in Medicaid spending occurs through the Managed Care Organizations. As more and more states seek to do more with less, increasing accountability for health quality outcomes is placed on health plans. Join this webinar to learn the typical quality payment approaches states use, issues often faced by health plans under each model and what states are expected to do with payment models tied to quality performance in light of near term Medicaid reform efforts.

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