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Tag: Regulatory updates and legislation

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Finalized updates to MA payment models: Rate changes, CMS-HCC V28, and more
CMS has finalized policy updates for Medicare Advantage (MA) plans, including major changes to reimbursement structures like CMS-HCC Version 28.
Article
Interoperability
Stars 101: A primer on the ratings system for Medicare Advantage plans
Measuring satisfaction with health plans and health systems is important – and complex. This primer on Star Ratings breaks it all down.
Article
Financial Return
Searching for the right words: Exploring the need for patient-friendly terminology
Rules aimed at curbing the practice of information blocking and facilitating greater price transparency are driving the need for patient-friendly terminology. Learn…
Insight Brief
Clinical Documentation and Coding
CMS proposes major changes to Medicare Advantage payment models
CMS’ latest report proposed major changes to Medicare Advantage reimbursement structure and the clinical documentation used to capture HCCs.
Article
Interoperability
A history of home healthcare payment models
Home healthcare payment models have changed significantly throughout their 50-year history. Here’s an overview of what you need to know.
Article
Financial Return
Understanding payment models and value-based care
Want to move toward value-based care systems in your organization but overwhelmed by all the information? This eBook breaks VBC down –…
eBook
EHR workflows
The 21st Century Cures Act: Impacts on developers, providers, and patients
This paper focuses on the ONC Interoperability Rule and how it impacts HIT developers, providers, and patients.
White Paper
Regulatory updates and legislation
Twists and turns: New developments for the Inpatient Only List
The Inpatient Only List is here to stay – for now. See how this can impact provider reimbursements and more in this…
Insight Brief
Regulatory updates and legislation
The 21st Century Cures Act: A payer’s perspective
While the 21st Century Cures Act was signed into law in 2016, now that the final rules from CMS and ONC have…
White Paper
Regulatory updates and legislation
Interoperability, information blocking and the coming data tsunami
Increased interoperability in healthcare – specifically, the sharing of electronic health data between systems – can be an enormous help for clinicians.…
White Paper
Data Quality and Standardization
The 21st Century Cures Act in the age of COVID-19
This white paper explores the necessary but unfortunate delays to implementation of the 21st Century Cures Act, which focuses on information sharing…
White Paper
Regulatory updates and legislation
Traveling at the speed of light: Health IT’s role in administering the COVID-19 vaccine
The rapid development of a safe and effective COVID-19 vaccine has brought a number of challenges into sharp focus in recent months.…
White Paper
Clinical Documentation and Coding

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