Maryland Physicians Care (MPC) Provider Relations Representatives Maryland Physicians Care…
The ROI Calculator for Partnerships to Address Social Determinants of Health is a tool designed to help CBOs and their…
The ROI Forecasting Calculator is an excellent tool for any organization looking to improve quality while keeping costs under control….
The tool is easy to use and only requires a handful of questions about your institution, including enrollment size, approximate…
Advanced financial and statistical support relating to Capitation Rates, Risk Adjustment Models, and Payment Methodologies….
This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and…
Opioid Settlement Distribution: Colorado Regions…
The CAQH Index benchmarks adoption, volume, cost savings opportunities and spend for transactions along the administrative workflow. The following metrics…
Various reports from the State of California regarding the quality of care provided by Medi-Cal managed care health plans. Plan-specific…
Eligibility: Contract Language (Payer v Provider) and Sample to Use. …
The Birth Count Query System is a highly useful online tool provided by the Florida Department of Health. It offers…
Physician-Employer Engagement has become a popular method for physicians to provide healthcare services to employees of companies. This approach is…
Financial ratio analysis is one critical component of assessing a hospital’s financial condition. The following metrics are examined in CHIA’s…
Medicare Medicaid Alignment Initiative Value-based payment structures are gaining popularity for many reasons. Financial incentives can be designed to reward…
Business case for breast-feeding…
Alzheimer’s care coordination payments are financial incentives or compensation provided to healthcare providers or organizations to coordinate the care and…
This environmental scan was prepared at the request of the Office of the Assistant Secretary for Planning and Evaluation (ASPE)…
AllWays Health Partners has teamed up with Lyra Health to offer a new solution to expand the availability of mental…
The New Jersey Health Care Quality Act (HCQA), N.J.S.A. 26:2S-1 et seq. and rules establish certain rights AND responsibilities for…
The Managed Care Legal Database is a resource identifying how state and federal statutes and regulations address many issues that…
Payors use a variety of reimbursement methodologies and reimbursement structures. Several reimbursement methodologies might be combined in a single arrangement…
Patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of…
As Medicare Advantage continues to grow, a gradual but significant reshaping of the Medicare program is taking place. A new KFF…
Healthcare Startups take too long to go to market hence innovations do not get to the American people in a…
The United States is going through a fundamental shift in its demographics. By 2035, there will be more seniors than…