News & Analysis

January 9, 2019
News & Insights

CMS ramped up risk-sharing for accountable care organizations (ACO) in a final rule published December 31, 2018. The final rule makes changes to the Medicare Shared Savings Program and will reduce the amount of time ACOs can stay in one-sided risk models.

January 8, 2019
News & Insights

A recent population health study found that socioeconomic conditions affect leading cause of death on a county level. While national trends show that cancer will soon replace heart disease as the leading cause of death nationwide, researchers found that heart disease is still more likely to be the leading cause of death in lower-income counties.

January 7, 2019
News & Insights

Q: Where can I find information on utilization review (UR) requirements for Medicare Advantage (MA)?

January 7, 2019
Briefings on HIPAA

In December, HHS Office for Civil Rights (OCR) released a request for information seeking input from the public in order to identify provisions of HIPAA that may impede value-based care or limit care coordination among individuals and covered entities, and which do not meaningfully contribute to protecting the privacy and security of protected health information.

January 4, 2019
Case Management Monthly

The new year is upon us, which means a new set of challenges and goals for 2019. We asked case management experts what they think case managers will need to focus on in the new year.

January 4, 2019
News & Insights

Approximately 16,000 patients of Mind and Motion Developmental Centers of Georgia had their protected health information compromised after a ransomware attack on a server at the facility.

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