Posts Tagged ‘healthcare performance data’

Infographic: What is Fair Market Reimbursement?

March 2nd, 2020 by Melanie Matthews

Fair market healthcare reimbursement establishes a reasonable range of reimbursement rates that all providers within a local market receive from a commercial insurer or another payer, according to a new infographic by Ancore, LLC.

The infographic examines how providers can better understand the rates that have been negotiated with other groups and use this information along with their own cost and quality performance data in payer negotiations.

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS SuccessA laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).

Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).

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