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About Laura Chaves

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So far Laura Chaves has created 82 blog entries.

Understanding the Direct Contracting (DC) Payment Model

Earlier this year, the Center for Medicare and Medicaid (CMS) announced five new payment models designed to transform primary care by paying providers for outcomes rather than services. Direct Contracting and Primary Care First are two of these models announced by CMS to help encourage providers […]

2020-06-25T10:36:40-04:00

CareJourney Launches Solution to Analyze Highly Configurable Patient Cohorts

June 10, 2020: CareJourney, a leading healthcare analytics company, announced the availability of its Cohort Atlas product that helps payers, life sciences, and providers analyze highly configurable patient cohorts. Customers are using CareJourney’s new solution to measure the prevalence of configurable chronic conditions, compare costs and co-morbidities, identify key networks of care, drugs, and facilities, and track patient journeys and care pathways [...]

2020-06-10T13:12:21-04:00

Medication Adherence as a Path to Unlock Savings Opportunities

In a post COVID-19 world, it’s more critical than ever for health plans to gain market share as well as decrease costs associated with poor outcomes. By achieving the 5 star rating in the Star Rating Program, Medicare Advantage prescription drug plans and stand-alone prescription drug plans are able to enroll members throughout the calendar year compared to those plans who are only allowed to enroll members through open enrollment. [...]

2020-05-21T15:28:13-04:00

An Exploration of the Primary Care First (PCF) Payment Model

Earlier this year, the Center for Medicare and Medicaid (CMS) announced five new payment models designed to transform primary care by paying providers for outcomes rather than services. One of the payment models is the Primary Care First (PCF) Model which is a voluntary, five-year alternative payment model (APM) aimed at reducing Medicare spending via prevention of acute hospital utilization, improving doctor-patient [...]

2020-06-12T16:02:57-04:00

Integrating Medicaid Data: Understanding the Sociodemographic Metrics At Play

Last November, the Centers for Medicare & Medicaid Services (CMS) announced the release of Medicaid and Children Insurance Program (CHIP) data through its Transformed Medicaid Statistical Information System (T-MSIS) analytical files. This release marks a historic step in CMS's commitment towards increasing data transparency and enables healthcare professionals to identify waste, promote best practices, and optimize [...]

2020-05-26T12:44:46-04:00
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