The Latest Entries

May 8, 2013 08:05 EDT

Analytics for ACOs

by Verisk Health

Pick up some practical, "real-world" perspective from a proven ACO pioneer. Join us on May 29 for a fast-paced one-hour webinar with Bob Kay, Senior Data Analyst at New Hampshire's Granite Healthcare Network.

With over 20 years of healthcare experience, Bob is an industry leader and pioneer and the perfect speaker to illustrate how to use analytics to create more effective risk-based contracts for both CMS and commercial payers. He’ll show you how to:

May 2, 2013 08:05 EDT

Employer Healthcare Costs: Management best practices

by Verisk Health

Back in 2011, Starbucks spent more money on health insurance than it did on coffee beans. Skyrocketing healthcare costs are a major concern for everyone, but self-funded employers need to be especially focused. Verisk Health tackles this problem in our next complimentary webinar on Wednesday, May 8, discussing the latest trends in benefit design and value-based purchasing.

April 9, 2013 04:04 EDT

Encounter Data Submission Management: Are you really prepared?

by Verisk Health

On Wednesday, April 17, join Verisk Health Product Manager Dawn Carter for a one-hour webinar on the challenges and strategies of Encounter Data Submission (EDS) management.

An 18-year veteran in healthcare administration, Dawn will lead you through the entire EDS process, from analyzing data quality and understanding various submission processes, to interpreting post-submission reports. Issues like:

April 8, 2013 08:04 EDT

Combating fraud, waste and abuse

by Verisk Health

To win against fraud, waste & abuse, prioritize these four essential elements:

New provisions under the Affordable Care Act (ACA) are helping focus fraud, waste and abuse efforts across every layer of the healthcare profession.  And the stepped-up attention is bearing measurable fruit.  Last year, a joint initiative between the Federal departments of Justice and Health and Human Services foiled a $452 million Medicare scam involving more than 100 individuals.

March 27, 2013 03:03 EDT

Medicare, Medicaid and health care reform: Proven secrets to survive (and thrive)

by Verisk Health

The rapidly shifting terrain of US healthcare policies require dynamic new tools to predict and manage risk at a whole new level. The good news is that the right tools—and guidance—can make a big difference. On Wednesday, April 3, Verisk Health experts will host an hour-long webinar tackling the challenges Managed Care Organizations will encounter with the impending reform of Medicare and Medicaid. Join us and learn how to:

March 21, 2013 03:03 EDT

Health care fraud: why are hospitals cheating you?

by Verisk Health

Reading Steven Brill's recent Time Magazine cover story, “Why Medical Bills are Killing Us” reminded me why I got into the business of healthcare, and more specifically, healthcare fraud. With all the talk about policy and who is going to pay for healthcare, finally someone stopped to ask the more important question: "Why does it cost so much?"

March 13, 2013 03:03 EDT

Revenue and Quality Intelligence recommendations for 2014 Medicare advantage cuts

by Verisk Health

CMS's newly announced “methodological changes” are predicted to reduce payments to health plans by as much as 8%.  And while no one can avoid their imposition, there are some steps plans can take to minimize losses without sacrificing quality of care.

Verisk Health’s Jamie Wells, president Revenue & Quality Intelligence, has just published some recommendations that encompass the following strategic responses:

March 6, 2013 12:03 EST

HIMSS 2013 conference speakers

by Verisk Health

On March 6, Verisk Health will be on-hand to discuss changing payment models and shifting risk burdens at HIMSS 2013 in New Orleans.  And at the premier event for providers, we'll be in some pretty heady company, including speakers such as Karl Rove, James Carville and former president Bill Clinton.  Stop by our booth, #4072, to see demos on HEDIS Best Practices and Population Health Management for ACOs.