Putting Together the Pop Health Puzzle



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Given how central and important value is to so many aspects of life, it may be surprising to learn that value-based care wasn’t really on anyone’s radar until 2008, when the Centers for Medicare & Medicaid Services introduced several programs intended to improve the Medicare program.
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Innova Primary Care: The Upside to Downside Risk



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Physicians don’t usually encourage their patients to take unnecessary risks, much less take such risks themselves. After all, they are supposed to be role models. But there are times when taking on risk is not only the right thing to do but can show others the path to a bright healthcare future.
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Gauging Healthcare Risk: From Antiquity to HCC



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In 2004, the Centers for Medicare & Medicaid Services introduced Hierarchical Condition Category (HCC) coding. Evaluating patient risk is as old as medicine itself. As early as the fifth century BCE, notes a 2011 study from the Centers for Disease Control and Prevention (CDC), the Hippocratic tradition focused on the prevention of disease through diet and exercise.
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HCC: Gauging Risk in the Real World



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Because knowing your patients’ medical histories well plays such a central role in delivering appropriate and effective treatments to them, healthcare providers today need the most effective possible risk-adjustment model available.
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