Tag: Value Based Healthcare

KPI Ninja receives NCQA Measure Certification℠ for HEDIS® Health Plan 2020, Another Step in Becoming the Most Comprehensive Population Health Analytics Company

March 30, 2020 Lincoln, NE – KPI Ninja Inc., a leading healthcare technology company known for its comprehensive population health analytics, announced today that it has received National Committee for Quality Assurance (NCQA) Measure Certification℠ for HEDIS® Health Plan 2020. This recognition demonstrates that their software offers the functionality to enable health plans to meet…
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The Power of Emergency Department Classifications – Risk Stratification Analytics Part 2

Emergency departments are our nation’s back-up plan, intercepting urgent conditions of all types and intervening to stabilize and regain health. Emergency departments found their place in our health care system to provide decisive, rapid care to patients with life-threatening conditions. Today, too many patients seek care in the emergency department for non-life altering reasons. 25%…
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An Introduction to Risk Stratification Analytics

If you work in the health care industry, you’ve likely heard of risk stratification. There is a good chance that risk stratification, whether used for negotiating payment rates or improving population health, will be one of the most important elements in a value-based health care system. Citing several indicators of industry disruption, there is an…
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A Bright Future Ahead For HIEs… If We Focus On Outcomes. SHIEC’s 2019 Survey Reflections.

The Strategic Health Information Exchange has released the results of the 2019 Annual Survey to demonstrate the impact of Health Information Exchanges (HIEs). If I could summarize the 50+ question findings in one word, I would say “Growth”. If HIEs leverage this growth and start moving to an outcomes-based model, we could witness a real…
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Why You Should Consider Participating in CMS’ Direct Contracting

Do you know the real story behind CMS’ new Primary Cares Initiative? For the past 30 years, CMS has offered a variety of payment models to drive high quality, affordable healthcare with bundled payments, value-based purchasing, accountable care organizations, and more. CMS has used a collaborative approach with these models to support entities and providers…
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