Paul D. Jacobs ([email protected]), Agency for Healthcare Research and Quality, Rockville, Maryland. There is widespread agreement that taxpayers pay more when Medicare beneficiaries are enrolled in ...

An epidemic is sweeping the nation, putting intense pressure on the healthcare system. This time, it’s not a disease of the human body — it’s cyber systems that are under attack. Recent research based ...

The timing is critical. Recent enforcement data shows that 80% of OCR settlements cite inadequate risk assessment documentation as a primary violation, while 73% of compliance professionals admit ...

Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

In an individual insurance market, plan payments are risk-adjusted to limit distortions in plan offerings that arise from incentives to select favorable risks. With this objective in mind, risk ...

During a Medicare annual wellness visit, your healthcare professional may include a Social Determinants of Health Risk Assessment. This helps healthcare professionals determine whether there are ...

The ability to identify patients at increased risk for hereditary cancer has never been more achievable, yet it’s still far from routine.