Population Health Management

Why Value-Based Care Reimbursement Needs Risk Adjustment

by Vera Gruessner

The Patient Protection and Affordable Care Act is a very complex piece of legislation that covers a wide range of provider and payer issues. Several not commonly discussed factors include the...

Accountable Care Organizations Rely on Population Health Data

by Vera Gruessner

Accountable care organizations (ACOs) are slowly becoming a mainstay of the healthcare industry, as more payers and providers are partnering through these care coordination programs and negotiating...

How Quality Metrics Affect Value-Based Care Reimbursement

by Vera Gruessner

In today’s changing healthcare landscape, public and private health payers are attempting to investigate new payment models in order to reduce the continually rising medical spending. Whether...

Service-Based Organization Strengthens Population Health

by Vera Gruessner

Blue Cross Blue Shield of Arizona (BCBSAZ) has recently partnered with McKesson Business Performance Services to form a service-based organization called ACO Partner meant to function in the...

Concierge Medicine Model Impacts Population Health Management

by Vera Gruessner

The concierge medicine model is becoming more and more prominent around the nation, as healthcare providers continue to adopt the new payment system. While many hospitals and physicians are finding...

Population Health Vital for Alternative Payment Model Success

by Vera Gruessner

The Department of Health and Human Services (HHS) has given the healthcare industry three years to transition toward alternative payment models. HHS Secretary Sylvia Burwell announced last year that,...

The Role ACOs Play in Propelling Population Health Management

by Vera Gruessner

Patient and family engagement, care coordination, data analytics, and population health management are all major goals when designing and adopting an Accountable Care Organization. The Commonwealth...