Make high-stakes decisions with confidence. Our guides and research translate the latest data into concise pathways you can use at the bedside or during virtual visits.
Coding is essential for accurately capturing a patient’s full health status and ensuring reimbursement aligns with clinical complexity rather than volume of services.
Utilization Management is a structured approach to evaluating the medical necessity, appropriateness, and efficiency of healthcare services to ensure patients receive the right care at the right time.
STAR Measures, which govern quality performance for more than 33 million Medicare Advantage beneficiaries, are a defining driver of financial sustainability, quality improvement, and competitive positioning in value-based care.
Access in-depth, accredited papers that educate visitors about Value-Based Care research and innovations.
Global lineup of expert-led, value-based healthcare events designed to empower healthcare professionals.
Searchable library of many conditions with Deep-Dive Coding Guidelines (PDF) and Quick-Reference Guides.
Benchmarks grouped into three major buckets (Institutional, Professional, Medications). Each links to 5-20 sub-segments (e.g., Observation vs. Admission).
Overview of STAR Measures with brief context notes.
End-to-end care pathways for diabetes, CHF, COPD, and more.
Summaries of landmark value-based studies and policy analyses.
Interactive ROI calculators, risk-stratification dashboards, Coding guidelines, and protocols.
