English Spanish

Policy/Research

Featured

Issue Brief
Medicare Advantage Payment Validation
Issue Brief

Medicare Advantage Payment Validation

CMS verifies the accuracy of Medicare Advantage payments by conducting Risk Adjustment Data Validation (RADV) audits.

Read More
Report
Bright Spots in Care Management in Medicare Advantage
Report

Bright Spots in Care Management in Medicare Advantage

Care fragmentation is a consistent characteristic of the U.S. health care system. On average, Medicare patients see seven physicians at four practices. A staggering 75% of hospitalized patients are unable to identify the clinician in charge of their care.

Click here to read the read a summary of the paper

Read More
Spotlight
Central Ohio Primary Care (COPC) Spotlight on Innovation
Spotlight

Central Ohio Primary Care (COPC) Spotlight on Innovation

COPC’s journey toward population health started in 1996 when 33 physicians from 11 practices merged. The decision was driven by need for new physicians who work exclusively in the hospital, called hospitalists, common medical records, professional administration, and the development of ancillary services.

Click here to read the full paper. 

Read More
Letter
Better Medicare Alliance Pre Rate Notice Letter to CMS
Letter

Better Medicare Alliance Pre Rate Notice Letter to CMS

Dear Acting Administrator Conway:

 As you prepare to release the CY2018 Medicare Advantage Notice and Call Letter, we write to underscore our support for Medicare Advantage and urge you to propose policies that maintain stability and support a strong Medicare Advantage option for beneficiaries.

Click here to read the letter.

Read More
Issue Brief
Medicare Advantage Payment Validation
Issue Brief

Medicare Advantage Payment Validation

CMS verifies the accuracy of Medicare Advantage payments by conducting Risk Adjustment Data Validation (RADV) audits.

Read More
Report
Bright Spots in Care Management in Medicare Advantage
Report

Bright Spots in Care Management in Medicare Advantage

Care fragmentation is a consistent characteristic of the U.S. health care system. On average, Medicare patients see seven physicians at four practices. A staggering 75% of hospitalized patients are unable to identify the clinician in charge of their care.

Click here to read the read a summary of the paper

Read More
Spotlight
Central Ohio Primary Care (COPC) Spotlight on Innovation
Spotlight

Central Ohio Primary Care (COPC) Spotlight on Innovation

COPC’s journey toward population health started in 1996 when 33 physicians from 11 practices merged. The decision was driven by need for new physicians who work exclusively in the hospital, called hospitalists, common medical records, professional administration, and the development of ancillary services.

Click here to read the full paper. 

Read More
Letter
Better Medicare Alliance Pre Rate Notice Letter to CMS
Letter

Better Medicare Alliance Pre Rate Notice Letter to CMS

Dear Acting Administrator Conway:

 As you prepare to release the CY2018 Medicare Advantage Notice and Call Letter, we write to underscore our support for Medicare Advantage and urge you to propose policies that maintain stability and support a strong Medicare Advantage option for beneficiaries.

Click here to read the letter.

Read More