The traditional fee-for-service healthcare model reimburses providers based on the number of services they render, regardless of patient outcomes. On the other hand, in value-based healthcare, payment is determined by the complexity of the patient population that each...
Medicare is federal health insurance provided to people age 65 or older, younger people with disabilities, and people with end-stage renal disease, or amyotrophic lateral sclerosi (ALS). Medicare Advantage (MA) is a type of Medicare health plan offered by private...
One of the significant developments that have impacted Medicare Advantage (MA) plans during the past decade is HCC (Hierarchical Condition Categories) coding. Medicare has used the HCC coding model to calculate payments to health care providers and insurance plans...