Archive for the blog Category

The Healthcare Effectiveness Data and Information Set (HEDIS®) is a set of managed care performance measures developed by the National Committee for Quality Assurance (NCQA).     Here are a few quick facts about HEDIS. HEDIS is… A measurement tool used by health plans to evaluate performance in terms of

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 of care for

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 from their provider

In the July-August 2019 Harvard Business Review, linked here, Tim Fountaine, Brian McCarthy, and Tamim Saleh all from McKinsey & Company, discuss building the AI-powered organization. They share how it is really about culture and not a huge technology challenge. Let’s talk about how to integrate AI into healthcare and

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 around care and

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 measures and metrics creating

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 agency must improve

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 track healthcare quality.

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, and guide MSOs

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 need to micro-segment