Value Based Care: Mastering Provider Quality Ratings and Performance for Maximum Reimbursement
This 460-page guide provides the reader comprehensive information required to understand the underlying theory, working processes, and necessary infrastructure to enable modernized provider quality rating and reimbursement capabilities including:
- understanding of payors difficulties in maintaining state and federal regulatory compliance in reporting clinical outcomes of current members
- key industry drivers around ratings and reimbursements and how they individually and collectively affect payors, members, and providers
- comparison of existing business and technical infrastructure versus optimal target state solutions required to efficiently manage ratings and outcomes
- contribute to internal and external projects, current employers or other stakeholders within insurance environments
- transition from fee-for-service to value-based reimbursement activities,
- prototypical commercial payor system and process flows,
industry data collection and enrollment reporting methods,
- and much more...
Details
- Publication Date
- Jan 21, 2016
- Language
- English
- ISBN
- 9781329846340
- Category
- Business & Economics
- Copyright
- All Rights Reserved - Standard Copyright License
- Contributors
- By (author): Salus One Ed
Specifications
- Format