Analytics in Risk Adjustment

By RaeAnn Grossman Data scientists and health informatics teams are increasingly using predictive analytics to tackle high cost of care challenges such as patient readmission, non-emergent ER and ICU utilization, and high-risk pregnancy.  CMS, HHS, and state Medicaid agencies are progressively leaning on risk adjustment to help predict the cost

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Healthcare Analytics: Self-Service – Smart or Stupid?

By RaeAnn Grossman In 2005 with a group of super-smart people, we built an ASP offering for risk adjustment. DataLink had 42 reports and our clients only used 17 of them.  Our clients asked for business intelligence reporting so they could pull reports themselves. We found they needed refreshed reports

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MSO 101 and Benefits

By RaeAnn Grossman There are so many acronyms in healthcare. It is hard to keep them all straight.  When you think of starting or managing an IPA, ACO, MSO, medical group, or physician practice, there is a lot to do. You need to think about care delivery, legal structure, goals

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Who Should Be at the Intersection of Value-Based Care?

By RaeAnn Grossman   At DataLink, we analyze, communicate, and improve the MSO, ACO, medical group, health plan, and even the patient’s clinical and financial performance by pulling all the elements of network performance, quality, care, and risk adjustment together.  We assist by moving from a simple reporting platform on

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CMS Hospital Reviews Again Do Not Include Stars Ratings

By RaeAnn Grossman On July 16, CMS released the hospital reviews and again it did not include Star ratings. Check out the article here: https://www.beckershospitalreview.com/rankings-and-ratings/cms-to-share-updates-on-hospital-star-ratings-later-this-summer.html “The AHA appreciates that CMS, as we have urged, is seeking further expert input on its star ratings methodology. We continue to believe that the

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Reviewing HHS’ Quality Fact Sheet

By RaeAnn Grossman In case you missed it on July 9, HHS shared this quality fact sheet. Secretary Azar confirmed the administration’s focus on: Transparency: President Trump’s Executive Order on transparency directs federal agencies to improve price and quality transparency, including streamlining the numerous measurements the federal government uses to

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MSO Best Practices in Action

By RaeAnn Grossman MSOs are popping up everywhere impacting clinical strategies, physician specialties, and micro-segmented populations. ACOs may need to transform into a different version of an MSO or IPA (we’ll see how this ACO application season goes). DataLink has developed an incredibly easy way to interact, onboard, support, engage,

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Solving Florida’s Population Health Management & Provider Engagement Challenges with Evoke360

By RaeAnn Grossman DataLink grew up with Florida’s Medicaid, Medicare Advantage, and Commercial value-based care partners and programs. We understand the many challenges because of the enormous competition with health plans, the noise in the marketplace, the dynamic nature of the regulations, the complexities of interoperability and connectivity, and the

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