SackettandTammySmithandLuAnnD'AngeloandRosemarySDOSCase ManagerSackett K, Smith T, D'Angelo L, Pope R, Hendricks C. The Medicare health risk assessment program. Case Manager. 2001; 12(3):52-5. Epub 2001/05/15. https://doi.org/10.1067/mcm.2001.114434 PMID: 11351235....
Over 150 potentially low-value health care practices: an Australian study. Med J Aust. 2012;197(10):556-560.PubMedGoogle ScholarCrossref 13. Qaseem A, Snow V, Fitterman N, et al; Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Risk assessment for and ...
To fill this gap in the literature, we described survival and use of hospital, nursing home, and home health care among rural and urban Medicare beneficiaries with ADRD. Using Medicare claims and assessment data, we compared trajectories of health care use in the 6 years after ADRD diagnosis...
This leaves only the following description of the rule in the Abstract: “This proposed rule would ensure that beneficiaries are making the best healthcare choices possible by providing them and their representatives with the opportunity to select an option for meeting future medical obligations that ...
This creates a substantial increase in clinical burden that will require payers to develop new capabilities in care management, social determinants of health (SDoH), and health equity—in line with CMS’s priorities. In the meantime, payers will continue to advance their capabilities as risk-bearin...
For example, it did not finalize its provision requiring that HCC codes collected through home health assessment programs – the basis for members’ risk scores – be supported by physician visits. This will likely have a positive impact on MA risk revenues in 2015.However,...
pending future rulemaking. Part C Star Rating measures that are currently part of the Universal Foundation are breast cancer screening, colorectal cancer screening, controlling blood pressure, diabetes care – blood sugar controlled, plan all-cause readmissions and Consumer Assessment of Healthcare ...
5) Run a Needs Assessment to help you determine whether to choose Mediigap or Medicare Advantage - so you get the healthcare you need and save money. 6) After deciding between Medigap and Medicare Advantage: Run a detailed analysis of all plans available in your area with all Major Carrier...
5) Run a Needs Assessment to help you determine whether to choose Mediigap or Medicare Advantage - so you get the healthcare you need and save money. 6) After deciding between Medigap and Medicare Advantage: Run a detailed analysis of all plans available in your area with all Major Carrier...
These findings suggest that the geographic component effect on the ratings is not trivial and should be considered in future adjustments of the metric, which may enhance the transparency, accountability, and importantly level the playing field more effectively when comparing quality across health plans....