A total transformation of traditional case management assumptions is essential to thrive in the new marketplace of value-based care.  It started out as an innovative nursing care model in the early 1980s and moved to a discharge planning/utilization review model incorporating several peripheral activities after the DRG fiscal meltdown. It…
Chronic conditions are the driving force in determining healthcare outcomes and costs in today’s value-based world, hence the interest in the Hierarchical Condition Category (HCC) coding payment model. Coding chronic conditions and co-morbidities is becoming increasingly critical as the healthcare landscape shifts toward value-based care. Value-based care attempts to advance…
Healthcare is moving from Medicare Fee for Service (FFS) to quality payment models.There has been a shift in our healthcare system, whereby providers are being rewarded for better care, not more care. This transition from fee-for-service to value-based care is not only changing how patients are cared for, but also…