Our Experts

The best way to transform U.S. health care is to transform the health of individual communities one by one, learning from our successes and failures to make improvements for our neighbors. We need to avoid a "one-size-fits-all" approach.

Topics: Health Reform,Care Delivery

Todd Cozzens describes a new core of health IT tools can help stakeholders manage a broader population.

Topics: Technology and Operations,Administration

With new payment models, along with the greater specificity and increased scope for both diagnosis and procedure coding that ICD-10 will bring next year, physicians are going to need to pay even closer attention to care documentation.

Topics: Technology and Operations,Reimbursement

Comparing an accountable care organization's actual cost of care to the Center for Medicare & Medicaid Services' pre-determined value of what it is expected to cost them ─ or the ACO’s “hurdle rate” ─ determines if a Medicare Shared Savings Program ACO will be able to participate in gain.

Topics: Reimbursement,Administration

Bundled payments are an inevitable step for both payers and providers as the industry heads toward accountable care. Here’s how every provider can prepare to make the shift.

Topics: Reimbursement

While payers and providers are usually in the spotlight when it comes to accountable care, the most successful models will be the ones that place a strong focus on patient accountability.

Topics: Care Delivery,Administration

Glenn Keet explains the importance of marketing health information exchanges (HIEs) to patients to assure them that their information will be secure and beneficial.

Topics: Technology and Operations

In high-acuity care areas, like the emergency department, the challenge of treating patients more holistically in what is already a fast-paced environment is concerning for physicians evaluating the pay-for-performance model.

Topics: Administration,Care Delivery

Providers can use these tips when working with actuaries to evaluate populations and assess risk.

Topics: Care Delivery,Technology and Operations

Joel Hoffman explains the need for actuarial data analysis to cut costs and reveal opportunities.

Topics: Care Delivery,Reimbursement