As hospitals are increasingly held accountable for what happens outside the hospital walls, they need access to better claims data. In a recent study published in the November issue of The American Journal of Managed Care®, researchers with the Michigan Value Collaborative found that it is possible to derive episode-level utilization from claims data and it provides a level of postdischarge care precision that is superior to medical records that hospitals have access to.
As hospitals are increasingly held accountable for what happens outside the hospital walls, they need access to better claims data. In a recent study published in the November issue of The American Journal of Managed Care®, researchers with the Michigan Value Collaborative found that it is possible to derive episode-level utilization from claims data and it provides a level of postdischarge care precision that is superior to medical records that hospitals have access to.
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Read the study:
Validation of a Claims-Based Algorithm to Characterize Episodes of Care: www.ajmc.com/journals/issue/2017/2017-vol23-n11/validation-of-a-claimsbased-algorithm-to-characterize-episodes-of-care
Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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