Blog Posts

3 Benefits of Participation in BPCI-Advanced

Tamara Cull Tamara Cull
Vice President, Advisory Services

The open window to apply for CMS’ Bundled Payments for Care Improvement (BPCI)- Advanced closes on March 12, but there’s still plenty of opportunity for health systems to move forward with value-based care and care management initiatives — and the care redesign they represent. Here are three ways participating in BPCI-Advanced – or getting started

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Bundled Payment Revival: The Time Has Come to Engage

Tamara Cull Tamara Cull
Vice President, Advisory Services

How can providers get started in value-based care? Get in the new BPCI-Advanced model announced last month by CMS. The largest financial returns are realized in the first years of a bundled payment program, like CMS’ Bundled Payments for Care Improvement (BCPI). With an upcoming window to apply for the next BCPI-Advanced by March 12th,

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Take the next step in liberating healthcare at HIMSS18

Carolann Engler Carolann Engler
Consulting Principal

Are you ready to make the future of care management your reality? Join us at booth #4629 at HIMSS18 March 5-9 in Las Vegas, where we’ll showcase how we are removing the complex from complex care management with the innovative and powerful Aerial™ solution that modernizes care management programs, improves operational efficiency and saves costs.

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Three Ways Healthcare Organizations Can Improve Care Management

Tamara Cull Tamara Cull
Vice President, Advisory Services

It’s fair to say that a primary goal of population health management is to move from illness treatment to illness prevention—and to improve health outcomes along the way. Getting there, however, is another story. Until recently, care management has been a largely retrospective endeavor. While care management tools have done a good job of collecting

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Successful Interventions, Positive Outcomes: Understanding the Impact of Social Determinants of Health

Tamara Cull Tamara Cull
Vice President, Advisory Services

This article was co-written by Donald Casey Jr, MD, MPH, MBA, Chief of Clinical Affairs for Medecision, and Tamara Cull, DHA, Vice President of Advisory Services for Medecision. Although it’s difficult to generalize the impact of social determinants of health, addressing them is fundamental to improving overall healthcare quality for member populations. According to the newly

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Raising the Stakes in 2018, CMS Continues Focus on Appeals and Grievances

Debra Faulkner Debra Faulkner
Senior Product Manager, Government Solutions

  Now, more than ever, it is crucial to be able to comprehensively track, manage and document appeals and grievances to CMS specifications so that you are ready for increased audits and avoid corrective actions on all non-compliant reporting and validation. On average, 35 percent of a government-sponsored plan’s population will have an appeal and/or

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Assessing Your Population Health Plan: Start With a Simple Framework

Carolann Engler Carolann Engler
Consulting Principal

Most healthcare organizations embrace the general concept of population health management. After all, using technology and data to improve clinical and financial outcomes aligns nicely with the ongoing transformation from volume-based to value-based care. But deciding where to start on the path to population health — and defining what success ultimately looks like — varies

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