Complexity 1: We generally do not receive claims in a timely manner If we always received the claim data during the same month in which the visit occurred, things would be much simpler, but we…
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Pipeline logic for a Value Based Healthcare Program
While this description seems complicated, it is greatly simplified (and excludes all discussion on episodes of care for simplicity, which is like a program on tip of other programs). Terminology Member The person covered by…
The Basics of Value Based Healthcare
Payment in the US Healthcare has traditionally been a fee for service model. If I go to the doctor, the doctor receives a certain amount of money. The more that I go to the doctor…
Homelessness – Part 7: How can we help the homeless?
This is where things get hard, because as I mentioned before – people are homeless for different reasons and there is no magic bullet that helps everybody get back on their feet. Their needs range…