Diabetes is all too common in the United States, with more than 29 million people suffering from the disease, according to the Centers for Disease Control. Modern approaches to diabetes care heavily rely upon lifestyle management. As such, diet, exercise and other lifestyle choices become key elements of successful treatment.
Hierarchical Condition Category (HCC) codes are used in Medicare Advantage to identify individuals with chronic illnesses and then assign a risk adjustment factor score that figures prominently in determining payment levels. With value-based models becoming increasingly commonplace, HCCs are more important than ever before. The Centers for Medicare and Medicaid Services (CMS), in fact, relies on HCCs to calculate patient financial risk in several programs such as Medicare Advantage, Medicare Shared Savings Program (MSSP) and Merit-Based Incentive Payment Systems (MIPS).
Paul and Gary O’Donovan are brothers who have won Olympic, European and World rowing medals. Part to their success could be attributed to the fact that the two siblings – who grew up together in County Cork, Ireland – have the distinct advantage of knowing each other so well that they are able to seamlessly work together to quickly propel the boat forward.
Pricing and quality transparency takes on increased importance with high deductible plans.
Knowledge is power. Patients are likely to latch on to the idiom as high deductible health plans, which place more financial responsibility squarely on the shoulders of consumers, become more prevalent. Indeed, as patients take more financial responsibility for their care, they will want to know exactly what they are paying for.