Author: Renee Towne

The Complexity of Data Aggregation Makes a Certified Data Partner for NCQA’s DAV Imperative

There’s no doubt that NCQA’s Data Aggregator Validation (DAV) program is increasingly important to health plans, organizations, and providers in this new era of digital quality systems. Health plans simply cannot handle validating the volume of electronic health data that is required for HEDIS® reporting and other quality initiatives. Therefore, for organizations like Health Information…
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A Year in Review

While 2021 has afforded us an abundance of opportunity to reimagine health care with technology, what keeps us headstrong is our people – welcoming new team members, problem solving with partners, threading “the patient” in our strategies – and it’s evident, we are just getting started. We know there are many options when it comes…
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MSSP ACO? 3 Quality Updates You Need to Know from the CY2022 Medicare Physician Fee Schedule Final Rule

The recent release of CMS’ CY2022 Medicare Physician Fee Schedule Final Rule is an important document for nearly every type of health care organization. And if you are a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO), this document provides the critical information you need to best position your organization for success. While the…
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Flagging Fragmented Care – Risk Stratification Analytics Part 9

We all know health care is fragmented, especially for those with higher medical needs. When you are trying to control costs and improve the health of your patients, you need the right information to understand who needs your services the most. It’s not enough to just focus on patients with a certain condition or rely…
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Internal Quality Measures: The Missing Link to High Performance

After working with hundreds of health care organizations over the last few years, I’ve found that almost all the organizations I’ve worked with have a difficult time integrating quality measures beyond what is required as part of their financial contracts. For example… One primary care clinic thought they were doing well with monitoring depression because…
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