Blogs

NCQA quality measures evaluate health plans on their effectiveness, patient experience, access to care, and care coordination. These measures ensure that healthcare payers deliver high-quality care, leading to better health outcomes for enrolled individuals.

Sara: The Next Frontier in AI for Healthcare

Happy holidays innovators!

I love Moneyball. It’s a great book, a gripping movie, and a powerful concept about how to ask the right questions about value, when everyone else is asking the wrong ones. Though I’m in healthcare and I never played baseball growing up, I’m passionate about data and the kind of analysis that Moneyball illustrates.

According to CMS, 7 out of 10 hospitals participating in the Hospital Readmission Reduction Program (HRRP) will face penalties in 2024. Around 70% of hospitals will incur penalties of less than 1% for their readmissions, while 7% will face penalties of 1% or more. This poses a significant challenge to the healthcare industry's pursuit of value since readmissions are one of the biggest costs hospitals must bear.

Indiana-based multi-specialty physician network is using the Innovaccer platform to reduce readmissions, automate ED transition workflows, and improve the patient experience to provide convenient and comprehensive care