Payers, Providers, and Vendors all have to work together to accomplish the healthcare triple aim of increasing positive health outcomes, improving the experience, and reducing costs for everyone. However, while the end goal may be the same, the individuals that are involved at all the various levels are judged by wildly different metrics, and what […]
Category Archives: Uncategorized
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 […]
Overcoming Reporting Challenges in Value Based Care : Provider Engagement Podcast with Guest David Meyer
Will and John sat down with David Meyer to discuss provider engagement in value based care.
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 […]
Lessons from Rise West
Our Team Recently sponsored the Rise West Virtual Conference and participated in several of the workshops. Several of the things we have been discussing lately were validated. COVID is Everything I may have missed it in the schedule, but I didn’t see a single session that in at least some way didn’t talk about the […]
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 […]