Medical Loss Ratio (MLR) is a measurement used by the Centers for Medicare and Medicaid Services (CMS) to ensure Medicare Advantage plans provide value to enrollees.
Read More
Tag: CMS Hot Topics
How lab data can inform health equity care models: FAQ with Labcorp and CHESS Health Solutions
To address health equity in ACO REACH, an ACO must first aggregate lab, clinical, and claims data to form a holistic picture of a population.
Read More
What You Need to Know About the 2024 Proposed Part C Risk Adjustment Model
CMS recently finalized the 2024 Proposed Part C Risk Adjustment Model, making changes to reflect recent utilization and cost patterns.
Read More
What is the Difference Between Health Equity, Disparities, and Inequities?
What does health equity mean and how will Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH) help everyone achieve their highest level of health?
Read More
3 Health Equity Pillars of ACO REACH
SDOH data collection, the Health Equity Plan, and benchmark adjustments are starting points for addressing health equity in ACO REACH.
Read More
What is Interoperability?
Interoperability can drive coordinated, collaborative efforts between providers, health systems, payors, and community resources.
Read More