Mission-Driven Medicine: Dr. Pablo Buitron de la Vega’s SDOH crusade, from capture to care

Listen to the episode here.   Social Determinants of Health, or SDOH, are a buzzword these days—but often little more. We acknowledge their importance, but actual progress on capture (and subsequent patient support) has been slow. To be fair real barriers including technological limitations and limited financial incentives stand in the way. But my current…

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What is the obligation of a Medicare Advantage plan? Shareholder value, or patient health?

By Brian Murphy What is the obligation of Medicare Advantage (MA) plans? Maximizing shareholder value? Or, keeping members healthy? It’s both … but ultimately the latter, I believe. YMMV. Recently I stated that UnitedHealth and other MA organizations bear responsibility in keeping their members healthy. A healthcare executive disagreed: “Is State Farm responsible for keeping…

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Prepare for April 1 OCG changes to COVID-19, obesity, and sepsis

By Brian Murphy An update to the ICD-10-CM Official Guidelines for Coding and Reporting (OCG) is out. These changes take effect April 1. I’ve provided the link below. The following three changes are of particular importance to CDI and coding professionals. I recommend reviewing the entire document which won’t take long; as a reminder, the…

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