Tag: Value Based Healthcare

New Changes Apply to CMS’ Merit-based Incentive Payment System (MIPS) in Response to COVID-19

Since the COVID-19 pandemic hit last year, we have been keeping our pulse on changes and updates to value-based program requirements. Here are three of the recent policy updates that apply to providers and groups participating in Centers for Medicare and Medicaid Services (CMS) Merit-based Incentive Payment System (MIPS). #1 Cost Reweighting The most significant…
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Building Trust in Health Information Exchange Data

The National Committee for Quality Assurance (NCQA) recently released an issue brief that showcases strategies and opportunities to advance the use of electronic clinical data for quality measurement and improvement. NCQA has been piloting with a new HEDIS® reporting method called Electronic Clinical Data Systems (ECDS). NCQA ECDS reporting “provides a standardized way to use…
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Benefits of Health Information Exchanges for Quality Reporting and Value-Based Care

To perform well in value-based care, healthcare providers must report improvements in quality, cost and utilization measures that align with their payers’ expectations. When it comes to providing data, analytics and technological capabilities for reporting these measures, health information exchanges (HIEs) offer several advantages over other data aggregators: Greater Efficiency HIEs provide clinical data, which…
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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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