Verisk Health

Verisk Health
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Verisk Health delivers innovative solutions that allows ACOs and at risk entities to evaluate, report and identify opportunities for quality and care improvement. Our solutions enable provider organizations to assess practice per member per month costs and physician-level efficiency; identify opportunities to optimize clinical care, improve quality, manage costs, reduce waste, and improve the patient experience. For more information, visit www.veriskhealth.com.

Verisk Health

 •  August 19, 2016

This week’s healthcare news highlights details of the Centers for Medicare & Medicaid Services (CMS) new cardiac bundled payment program, how strong compliance programs may help deter healthcare fraud, Verisk Health’s appointment of Dr. Emad Rizk as chief executive officer and board director, and details of CMS’ final rule on a controversial 1.5...

Verisk Health

 •  August 17, 2016

Our in-house commercial risk adjustment experts offer insight on what exchange plans should be considering as they prepare to begin submissions for benefit year 2016.The Centers for Medicare & Medicaid Services (CMS) released its 2015 Payment Transfer Report on June 30, 2016. Now that plans have had a chance to digest their results, we asked our...

Verisk Health

 •  August 12, 2016

This week’s healthcare new:keys to creating more affordable healthcare,Medicare savings projections,and helping employers understand and address cost drivers. This week’s healthcare news highlights a recent report that outlines key insights for creating a more affordable healthcare system, details on health plans concerns over further participation...

Verisk Health

 •  August 5, 2016

This week’s healthcare news: A look at MACRA’s future, penalties for hospital readmission rates, and top 10 healthcare innovations. This week’s healthcare news highlights what’s next for MACRA, a reported increase in medical services for those diagnosed with opioid dependence, the latest from the federal government on new penalties for...

Verisk Health

 •  August 3, 2016

Top five lessons learned from the 2016 HEDIS reporting season and our best recommendations for HEDIS success in 2017 Each year, plans face new challenges in their HEDIS® reporting as NCQA updates its reporting requirements to account for any changes to the program. We find that among our clients, even the smallest changes can create big problems if...

Verisk Health

 •  July 29, 2016

This week’s healthcare news: U.S. biggest fraud bust to date, CMS releases Five-Star ratings, hospitals’ concerns over MACRA This week’s healthcare news highlights the recent bust of the United States’ largest healthcare fraud scheme to date, an update on the Centers for Medicare & Medicaid Services (CMS) recently released Five-Star ratings, how...

Verisk Health

 •  July 22, 2016

This week’s healthcare news: compounding drugs raises fraud concerns, MACRA start date delayed, NCQA’s latest changes to HEDIS 2017 measures. This week’s healthcare news highlights growing concerns that compounded drugs create greater healthcare fraud opportunities, the announcement of a potential delay to MACRA, proposed new changes to HEDIS®...

Verisk Health

 •  July 20, 2016

Our blog explores top tactics to help Medicare Advantage plans improve program success in 2017. As its beneficiary population continues to expand, the Medicare program faces persistent pressure to do more with less. With The Centers for Medicare & Medicaid Services (CMS) facing continual legislative and regulatory payment policies, along with...

Verisk Health

 •  July 15, 2016

This week’s healthcare news: New call for public option in health law, HHS helps protect against ransomware, Hospital groups ask CMS to postpone Five-Star ratings This week’s healthcare news highlights President Obama’s call for a new public option in health law, the U.S. Department of Health and Human Services’ (HHS) efforts to help protect...

Verisk Health

 •  July 13, 2016

Our blog explores factors influencing the cost of maternity care with recommendations on how to improve benefit programs for employees.In April, Verisk Health’s Sam Stearns co-authored an article in Employee Benefit News titled, “5 ways employers can optimize the value of maternity care for employees.” We recently sat down with Sam and his team to...