March 2015

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

Enterprise Risk Management (ERM) - Risk Profile Development – Analyze the Risks

Last month we described how to identify the risks organizations face, and how to create a framework for analyzing, measuring and managing them. In this next article of the series, we will explore how to analyze the organizational risks that have been identified.  Read more about the Risk Profile Analysis process >>

Claim Settlement, Medicare, and Medicare Set Asides

The Centers for Medicare and Medicaid Services (CMS) Will Start Using New Life Tables Beginning April 1, 2015.  Read more >>

Centers for Medicare and Medicaid Services (CMS) Issues Final Rule for Medicare Secondary Payer Determinations.  Read more >>

Centers for Medicare and Medicaid Services (CMS) Offers an International Classification of Diseases (ICD) 10 Resource Website. Read more >>

Healthcare - Patient-Centered Outcomes Research Institute (PCORI) – Has the Time Come for an Expanded Mandate?

Under the Affordable Care Act (ACA), Congress took a step to create a source of trustworthy and understandable information about the costs and benefits of pharmaceuticals and other types of care. By creating the Patient-Centered Outcomes Research Institute (PCORI), Congress funded a research organization that specifically examines the comparative effectiveness of alternative therapies of all types. Read more about PCORI and their mission >>