In a previous role I often worked with various hospital/medical ‘quality’ rating systems. Is anybody other than the metric developers themselves actually happy with either the methods or the resulting ratings? Certainly clinicians never seemed to be. It seemed like if you had the time and the propensity essentially every metric could be undermined, and… Read more Who is happy with hospital quality ratings?
I’ve been working with our ACO and their CCLF claims data quite a bit recently, and have become decently familiar with the adjustment methods CMS employs to adjust ACO payments. I just answered a question on reddit the other day on the topic, and right after I wrote out my answer explaining the process I… Read more ACO risk adjustment