CMS assumes plans have perfect data ready for the RAPS to EDS shift, but what are the real world effects of CMS' 0% Encounter data transition? Episource explores the implications of the 2022 Advance Notice on MA and dual-program enrollees.
On Monday, September 14th, CMS released their annual Advance Notice three months earlier than what has come to be expected. This is a move, that even though it was offered as a possibility, is one more unprecedented occurrence for 2020.
Episource's Director of Risk Adjustment & Payer Solutions, Meleah Bridgeford, reviews CMS' 2021 Rate Announcement and its effects four months into a public health emergency. How has COVID-19 affected EDS Percentages, Coding Trends, and Increased HCCs?
COVID-19 has made it necessary for ACOs to find new ways to navigate risk and deliver patient care—and telehealth has emerged as a powerful tool to help them do just that. Learn more about the challenges ACOs are facing, the regulatory measures CMS is taking to address them, and the four primary use cases in which ACOs can leverage telehealth.
With the recent changes to the existing risk adjustment model and the higher percentage of encounter data that will make up risk scores, health plans are now focused more than ever before on ensuring they’re prepared to secure the same RAF. To assist in your preparations, our Vice President of Client Services gives you the insight on the top priorities you should consider before making important vendor decisions.
On March 9, senior healthcare officials announced the release of two of the most extensive rulings ever passed around the way electronic health information is exchanged: the CMS Interoperability and Patient Access Final Rule and the ONC Cures Act Final Rule. The separate but interrelated rulings represent a huge step forward for interoperability and increased patient access, giving members unprecedented control over their health data.
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