Putting Patients First to Ensure Appropriate Utilization of Resources

Posted by Christina Gurnari

It seems like it should go without saying that patients should be a healthcare provider’s primary focus. According to a recent national survey of NEJM Catalyst’s Insights Council, the current provider environment makes delivery of high-value, compassionate care a challenge. According to the survey, the biggest part of that challenge involves finding more time with patients so that clinical staff can spend the right amount of time to provide the right care. This time can greatly impact patient experience and satisfaction which are also driving factors in creating a high value compassionate care environment.

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Why Encounter Data is More Important Than Ever

Posted by Darryl Low

Earlier this month, the Center for Medicare & Medicaid Services announced that they will be calculating 2020 risk scores by adding 50% of the risk score using diagnoses from encounter data (supplemented with diagnoses from RAPS inpatient data) and FFS data and 50% of the risk score calculated (using the 2017 CMS-HCC model) using RAPS and FFS diagnoses. This doubles the current percentage of encounter-based risk scores used for the final calculation, meaning every encounter reported up stream will soon be more important than ever.

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Topics: technology

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