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…
Posts tagged value based healthcare
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…
My Career – Part 24: Nuna
At the time that I joined Nuna, their core business was focused on supporting value based healthcare. My job at Nuna was tightly intertwined with the business logic needed to support value based healthcare. Rather…