SPH Blog

Driving Impact at the Nexus of Health, Value, and Happiness

  • ‘Tis The (Flu) Season

    ‘Tis The (Flu) Season

    “I opened the door and influenza.” Okay, that’s a terrible pun, but an amusing way to welcome a very un-amusing time of year: flu season. Flu […]

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  • Planning for Q4 in a Year Like No Other

    Planning for Q4 in a Year Like No Other

    There’s no telling how the year 2020 will size up as a benchmark for future years of healthcare. Indeed, trying to use previous years as comparisons […]

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  • CMS Announces New Timeline for HOS Fielding in 2021

    CMS Announces New Timeline for HOS Fielding in 2021

    CMS has just announced that fielding for Health Outcomes Surveys (HOS) will take place only from August through November, replacing the previous April through July timeline.

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  • QHP Enrollee Survey: Proposed 2021 Survey Tool Updates to Address Telehealth

    QHP Enrollee Survey: Proposed 2021 Survey Tool Updates to Address Telehealth

    CMS recently posted proposed updates to the QHP Enrollee Survey. This survey is required for health plan issuers operating as Qualified Health Plans on the Marketplace.

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  • The QPP Proposed Rule 2021: What’s in Store for MIPS and ACOs

    The QPP Proposed Rule 2021: What’s in Store for MIPS and ACOs

    Recently CMS released the proposed rule for the 2021 Quality Payment Program (QPP), which covers both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

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  • Elevating Patient Experience

    Elevating Patient Experience

    Hearing and Valuing the Voice of the Patient Person-centered care and the voice of the consumer have become increasingly vital measures of quality in the health care delivery system.

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  • Getting Regular-Care Patients Back on Schedule: Make it a “Grand Re-Opening”

    Getting Regular-Care Patients Back on Schedule: Make it a “Grand Re-Opening”

    Talking “care gaps” while everyone is talking “coronavirus” is a bit like talking to a brick wall. So is “preventive care,” “non-critical regular screenings,” and other […]

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  • COVID-19 Regulatory Updates that Impact Health Plan CAHPS Surveys

    COVID-19 Regulatory Updates that Impact Health Plan CAHPS Surveys

    Here at SPH Analytics we’ve been busy interpreting and addressing all of the fast and furious regulatory updates that have come from NCQA and CMS these past few days.

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  • The Human Connection of Patient/Member Experience in the Age of COVID-19

    The Human Connection of Patient/Member Experience in the Age of COVID-19

    Like many of our health plan and delivery-of-care partners, here at SPH Analytics we’ve been adapting to a crisis that calls on us to approach each day with an open mind...

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  • 7 Big Potential Impacts to CAHPS and HOS via the MA & PDP Star Ratings

    7 Big Potential Impacts to CAHPS and HOS via the MA & PDP Star Ratings

    CMS recently released two substantive pieces of rulemaking. Both Part II of the Advance Notice of Methodological Changes for Calendar Year 2021 and the Contract Year 2021 and 2022 Medicare Advantage..

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  • A New Tool to Visualize the “Genetics” of Payment Programs

    A New Tool to Visualize the “Genetics” of Payment Programs

    Healthcare provider and payer organizations alike face a growing challenge in the shift to value-based care. We have found in our work that leaders increasingly struggle […]

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  • Health Plan Quality Improvement Planning Checklist

    Health Plan Quality Improvement Planning Checklist

    Multiple regulatory programs require health plans to report on their efforts to: improve health outcomes, prevent hospital readmissions, ensure patient safety and reduce medical errors, and […]

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  • Taking the Temperature of Your Patient Safety

    Taking the Temperature of Your Patient Safety

    Errors, accidents, injuries, infections, and even death – certainly nothing you would ever want to experience at any healthcare facility – yet, they happen.  Hospitals, compounded by the […]

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  • Analysis of Payer Relationships as Key Driver of Physician Burnout

    Analysis of Payer Relationships as Key Driver of Physician Burnout

    SPH Analytics recently partnered with our client UPMC Health Plan to conduct research into physician satisfaction with health plans. The research uncovered several physician and payer […]

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  • Celebrating 100+ Years of the Venn Diagram (and one more anniversary, too!)

    Celebrating 100+ Years of the Venn Diagram (and one more anniversary, too!)

    It may not look like a centenarian, but it is! Birthday greetings to the “Venn Diagram.” The popular assembly of overlapping shapes […]

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  • Improving MIPS Scores with Better Data and Better Practices

    Improving MIPS Scores with Better Data and Better Practices

    How one company boosted its quality, care, codes and scores in just months You’re a respected, well-thought-of, big-time contributor to the healthcare of both your community and […]

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  • Meeting the Challenge of Missing and Unstructured Data

    Meeting the Challenge of Missing and Unstructured Data

    Challenges reclaiming missing data to get your unstructured Health care data to work for your organization.

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  • Morpace Health Joins SPH Analytics – Good News for Health Plans

    Morpace Health Joins SPH Analytics – Good News for Health Plans

    In this long and winding, if increasingly well-traveled, road toward value-based care, few things resonate more than an increasing share of the population actively engaged in […]

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  • OAS CAHPS Update

    OAS CAHPS Update

    Please see announcement below regarding the CMS Proposed Rule for Calendar Year 2019 for OAS CAHPS. The announcement is followed by additional thoughts from SPH Analytics. […]

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  • A MIPS 2017 Success Story

    A MIPS 2017 Success Story

    Lessons Learned to Help You Prepare for MIPS 2018 MIPS 2017 Submissions Are Over! What’s Next? Congratulations to everyone who worked diligently to understand the Merit-Based […] The post A MIPS...

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