September has been a very busy month in the Advanced Alternative Payment Model world. Just 10 days ago I had the privilege of joining about 90 other ESCO participants at the 2-day 2018 Cross-Model ACO … [Read more...]
All Along the Watchtower: Pathways to Success?
This summer just gets better and better. As I was preparing to take a deep dive into the Advanced APM section of the fee schedule and QPP NPRM that Diana, Dugan and I were recently unpacking, out of … [Read more...]
The 2019 QPP: A Summertime Intro
I don’t know about you, but the summer doldrums have certainly arrived here in Southside Virginia. Nothing like stepping out into the sauna and having your glasses fog up due to the heat and humidity! … [Read more...]
The Murky World of PBMs
“That will be 148 dollars and 52 cents.” Thus began my odyssey into the world of pharmacy benefit managers, while standing at the counter of the local branch of a national pharmacy chain last … [Read more...]
Risky Business: The CMS HCC Risk Model
Today’s catchy title may invoke memories of that risqué movie from the 80’s starring a young Tom Cruise famously dancing in his tidy whities. But today’s post is not about that type of risk. Instead … [Read more...]
Promoting Interoperability: What’s in a Name?
Time truly flies when you are having fun. Can you believe tomorrow is May 1? I am amazed how quickly this year is passing by. In an otherwise quiet week at the intersection of nephrology and health … [Read more...]
Change: Had enough?
The transition from winter to spring is one that I look forward to every year. Predictions for snowfall disappear from the forecast, trees and flowers are budding and blooming, and smell of fresh cut … [Read more...]
APM 101: Take Your Best Shot
March is upon us, and with it comes the Madness that accompanies the end of the college basketball season. Although my preference would be to discuss BPI, RPI, and Kenpom today, something tells me you … [Read more...]
