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IThA1
Data Metrics for Preparation and Participation: The New Age of Healthcare Reimbursement
Date
November 3, 2016
Healthcare reimbursement is increasingly moving towards a payment model based on Triple Aim goals - quality, total cost of care, and patient experience. These goals require different metrics from the volume-based systems of today, including analysis of external reports. Some health centers already have some of this data, but tying it to pay-for-performance payments is often difficult. This session will cover the basics of these metrics, including definitions for cost, utilization, quality, and engagement metrics.
Identify key metrics to track in a pay-for-performance environment.
Review data sources for metrics.
Understand the meaning of "metrics" and how health center behavior may influence them.
There are several threats to health center funding at the federal level–the 330 funding cliff, repeal of the Medicaid expansion, and block grants/per capita caps. This session will present analytical tools to measure the financial impact of each potential change…
Health centers care for a medically and socially complex patient population. While there are many examples of this complexity, as centers go into value-based pay, they are being asked to prove/measure this complexity. This session will evaluate risk adjustment in value-based pay…
This session will review synergy between financial and operational processes…
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