When people first meet – whether it’s on a blind date or as college roommates or as new work colleagues – questioning ensues: Where did you grow up? What hobbies do you have? What kinds of food do you like? By getting to know one another, we know how to interact with each other.
During a recent webinar entitled Call Letter Chat: Understanding and Planning for CMS’ Policy Changes, Tom Peterson, Senior Vice President, and Pam Klugman, SCIO’s Risk Adjustment Expert, explained not only why it is important to understand all the details of the new Centers for Medicare and Medicaid Service's (CMS) Hierarchical Condition Category (HCC) Risk Adjustment Model outlined within the document but how to deal with these new developments as well.
Good chefs often keep adding ingredients into a recipe to go from merely edible to appetizing to scrumptious and beyond. Healthcare organizations can do the same when it comes to getting the most out of data.
At Scripps Health Plan Services, we are focused on ensuring successful value-based care outcomes. To accomplish this, our organization has zeroed in on costs, utilization, access and quality of care. To move the needle in the right direction, we have learned that it is important to: