Several people have been pointing me to articles such as the one below from the AJC – all reminders of the 2018 CMS requirement of hospitals participating in Medicare to provide some form of pricing transparency. https://www.ajc.com/news/national/hospital-prices-are-about-public/2jXYHgoR5CObBj6fSJQQUO/ I’m going to go ahead and ignore all the good, economic reasons why this isn’t going to work… Read more Hospital price lists will be a joke
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