As the science behind the health care industry continues to expand and new treatments and clinical trials are being run every day, it is important to have a method of disseminating information. This is especially true when the information will have an significant effect on the level of mortality and morbidity. Clinical alerts are used [...]
The Center for Medicare and Medicaid Services has established a rating system to be used in determining the overall quality of a nursing home. The Five-Star quality rating system was created in order to aid caregivers, families and consumers with the comparison of available nursing homes. The rating system is measured on a scale of [...]
Hierarchical Condition Categories, or HCC, were established in 2004 by the Centers for Medicare and Medicaid. This model is used in order to change the capitation payments that are paid to health insurance providers for an anticipated cost for Medicare or Medicaid enrollees. Each hierarchical condition category is assigned to a specific health condition. Through [...]
Within the health care industry, pay for performance, also known as P4P, is a method of payment that is becoming more popular both within the United States and Great Britain. Through this model of payment rewards, health care providers such as physicians, medical groups and hospitals are rewarded when certain measures of efficiency and quality [...]