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Reimbursement, Quality Scores & Risk Adjustment Improve HCC Practices

Hierarchical condition categories (HCCs) reveal the severity, complexity and interaction of member conditions. They are used by the Centers for Medicare and Medicaid Services (CMS) to adjust risk scores that determine payment for Medicare Advantage (MA) beneficiaries. With CMS leading the way, additional government and commercial payers leverage HCCs to drive quality ratings, shared savings, [...]

By | May 18th, 2018|Health Care, Insurance, Laws, Retirement|0 Comments

Can Healthcare Be Fixed?

Even though the U.S. economy appears to be doing well, Americans are concerned about what Congress will be doing in the next six months about the ACA. The Current State The ACA has single handedly tripled the overall cost of health care since it was signed into law. Insurance premiums and deductibles have skyrocketed. Even [...]

Healthcare Dilemma

Some in Washington feel that today we are closer than ever of sending ACA to the ash heap of history and opening the door for much-needed market-based solutions to health insurance. With the Tax Cuts and Jobs Act, Republicans banded together to eliminate the unpopular ACA program individual mandate. Now the administration is determined to [...]

By | March 23rd, 2018|Affordable Care Act, Health Care, Laws, Taxes|0 Comments

ICE Promises Employers More I-9 Audits

Important I-9 Audit Information Employer’s Must Know The administration proposed budget for FY19 includes $47.5 billion for DHS for "strengthening border security, ensuring enforcement of immigration laws, and reforming the legal immigration system." The administration’s proposed $571 million to hire 2,000 additional Immigration and Customs Enforcement (ICE) officers and $132 million for E-Verify; The administration [...]

By | March 15th, 2018|Did You Know?, IRS, Laws, Services|0 Comments