Providers are People, Too: The Provider Engagement Podcast with Guest Dr. Shannon Decker

  Dr. Shannon Decker took a background in education and was able to become a nationally recognized speaker in healthcare discussing how to bridge the gaps between payers and providers. She gives amazing insights on a variety of topics – things we don’t normally think about, but our big takeaway message is that this is […]

Stars and Supplemental Benefits: The Provider Engagement Podcast with Guest Dan Weaver

  There’s been a big shift in CMS Stars Ratings. HEDIS Measures and are not being weighted as heavily, while member experience is becoming more important. Our guest in this episode, Dan Weaver, has been working in the Stars arena for many years on the health plan side, and recently shifted to the vendor side […]

What Providers Really Need [Provider Engagement Podcast with Guest Ryan Dodson]

John and Will had the opportunity to sit down with Ryan Dodson, co-founder of New Vision Healthcare Solutions. He brings substantial experience working with providers to improve Stars Ratings and Risk Adjustment. Putting the “Engage” in Provider Engagement Throughout this episode, there was a heavy focus on really improving provider engagement. We addressed several key […]

Lessons from the 16th Rise Risk adjustment Forum

This year’s virtual Risk Adjustment Forum was filled with a variety of top-notch speakers that represented a breadth of health plan, provider, and regulatory positions. There were many important points made throughout the conference.  Here are a couple of highlights: CMS continues to make waivers for dealing with COVID-19, and chief among them are the […]

Why EMR Access isn’t all it’s cracked up to be

When it comes to documenting HEDIS™ measures and recapturing documentation for Risk Adjustment, EMR/EHR access is a hot topic. On the surface it sounds great… “You mean our coding team can just go in and get the documentation without having to bother the provider?”    And while it is certainly preferable for your team to have […]

Will Social Determinants of Health Become Even More Important Post-COVID?

I’ve been writing recently about my thoughts on what the COVID pandemic will mean for the future of the Health Care and Health Plans. Obviously this year’s reporting system is going to be wild. But, there is also big opportunities with the rise of telehealth. I see a major shift to even more value-based care. […]

Will COVID Drive A Faster Shift to Value-Based Care?

I’ve been writing recently about my thoughts on what the COVID pandemic will mean for the future of the Health Care and Health Plans. Obviously this year’s reporting system is going to be wild.  But, there is also big opportunities with the rise of telehealth. So what else?  I see a major shift to even […]

What Will the COVID-Induced Rise in Telehealth Mean for STARS and Risk Adjustment?

A couple of weeks ago I wrote about how COVID-19 is affecting Medicare, and particularly from the health plan perspective. Obviously this year’s reporting system is going to be wild. But there are likely several other changes that will have long lasting effects. The Rise of Telehealth This was already a growing practice throughout health […]

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