by Mark Morsch | February 13, 2012
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.
by Joel Hoffman, ASA, MAAA, FCA | February 13, 2012
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.
by Dean Farley, PhD | January 17, 2012
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.
by Joel Hoffman, ASA, MAAA, FCA | December 5, 2011
Joel Hoffman explains the need for actuarial data analysis to cut costs and reveal opportunities.