Mosby, Inc.Case 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.
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...
In 2005 the United States and the other member states of the World Health Organization signed the World Health Assembly resolution 58.33, which stated that nations should “transition to universal coverage of their citizens… with a view to sharing risk among the population and avoiding catastrophic...
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...
public health or safety, or State, local, or tribal governments or communities. For all “economically significant” regulations, the Executive Order directs agencies to provide (among other things) a more detailed assessment of the likely benefits and costs of the regulatory action, including a ...
We excluded diagnoses listed in medical record reviews or health risk assessment records from computing HCC scores because use of those records substantially varied across MA plans.28-30 In a sensitivity analysis, we included diagnoses from all data sources, and the findings were consistent with the...
2 The CMS integrates data to generate the ratings from a comprehensive set of sources, such as the Medicare Consumer Assessment of Healthcare Providers & Systems survey, the Healthcare Effectiveness Data and Information Set, the Health Outcomes Survey, CMS administrative data, and the Health...
Despite the increasing difficulty of getting a score of 4 Stars on those measures, the enrollment-weighted average Star Ratings increased for all but "improving or maintaining physical health" and "reducing the risk of falling" (Exhibit 6). To further explore the impact of tightening...
Risk AssessmentEndarterectomy, CarotidAge FactorsStentsHealth Services for the AgedAged, 80 and overIn this issue of Catheterization and Cardiovascular Interventions, we see a promising large series of elderly patients who have been treated with carotid artery stenting as an alternative to carotid end...