Doctors in the Media: Abiding by HIPAA

In today’s digital age, it’s important to stay apprised of the rules and regulations surrounding providers and patients. A recent case in Connecticut serves as a good reminder of the rules set forth in the Health Insurance and Portability Act (HIPAA), which prohibits health care providers from disclosing a patient’s protected health information to media […]

Developing a High-Performing Ambulatory Care Network

Success in a value-based services environment requires physicians to: (1) continue improving the quality of their services, and (2) provide those services in an efficient manner to reduce the cost of care. In addition, physicians and ambulatory networks must strive to be high-performing in order to earn shared savings. A recent Healthcare Financial Management Association […]

Medicare Advantage Star Rating and the Provider: Rewarding, Complex and Competitive

CMS created the Star Ratings system in 2008 to help seniors compare quality and performance among Medicare Advantage (MA) Part C plans and Part D prescription drug plans (PDPs). Insurance companies also benefit, as a plan’s star rating influences patients and directly affects membership growth. In 2012, CMS upped the ante by linking premiums and […]