I’ve been working with our ACO and their CCLF claims data quite a bit recently, and have become decently familiar with the adjustment methods CMS employs to adjust ACO payments. I just answered a question on reddit the other day on the topic, and right after I wrote out my answer explaining the process I saw this Health Affairs blog post on the same topic.
Several people have been pointing me to articles such as the one below from the AJC – all reminders of the 2018 CMS requirement of hospitals participating in Medicare to provide some form of pricing t
In a previous role I often worked with various hospital/medical ‘quality’ rating systems. Is anybody other than the metric developers themselves actually happy with either the methods or the resultin