By Pooja Babbrah, PBM Services Practice Lead, Point-of-Care Partners January 2021– In late October, CMS issued a final price transparency rule, closing out a momentous march toward price transparency unlike anything seen before. Over the past few years, CMS and this administration has released four price transparency rules and one Executive Order related to surprise… Read more »
We Need to Collaborate to Accelerate the Adoption of Value-based Care
By Jonathan Bradley, Principal, Ironwood Health December 2020- Many recent articles correctly point out that the widespread and full-throated adoption of the principles of value-based care are moving at a casual pace, at best. To be sure, there are pockets of rapid progress, but the overall adoption of advanced payment methodologies, and with it, the… Read more »
Gibson Talks – Risk Adjustment Edition
December 2020- In this inaugural edition of Gibson Talks, Executive Recruiter Trey Wheless consults with Fahad Ahmed on recommendations for the most current and pertinent issues in Risk Adjustment. 1. What are some of the benefits and hurdles to transitioning from RAPS to EDS? In 2012, CMS began collecting encounter data through the Encounter Data… Read more »
Creating a Culture of Compliance with Your Third-Party Vendors
by Matthew LaGanke, Executive Recruiter: Healthcare Compliance and Regulatory Affairs This article was originally published in Healthcare Business Today- [View Original Post] Third-party vendors have proven to be an invaluable resource for many health plans looking to cut costs on services and bring value to their organization. While these services provide many benefits, they often bring just… Read more »
Protecting Risk Adjustment Revenue in 2021
by Trey Wheless, Executive Recruiter: Quality Reporting and Risk Adjustment for Health Plans This article was originally published on LinkedIn – [View Original Post] Only six months ago, the healthcare industry looked completely different. COVID-19 has impacted every area of healthcare, resulting in fewer doctor visits, fewer diagnoses, and, therefore, fewer claims. As a result,… Read more »
Have You Lost Your Job?
by Jim Gibson, President, Gibson Consultants I remember the first time I lost my job. It was terrifying. I was the sole breadwinner, with three small children and a mortgage. If you’ve recently lost your job, I know how you feel and I hope the tips below will help. In the days following my job… Read more »
Have You Lost Your Job?
This article originally appeared on HISTalk on May 11, 2020 I remember the first time I lost my job. It was terrifying. I was the sole breadwinner, with three small children and a mortgage. If you’ve recently lost your job, I know how you feel and I hope the tips below will help. In the… Read more »