Charles Fox

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  • What is the difference between Voluntary and Claims-Based Alignment?

    With voluntary alignment, the Medicare patient is able to self-elect their PCP. If that PCP is also on an MSSP participant list, then that patient will be aligned with that ACO. With claims-based ...

  • What are the CPT codes used in Physician Total Patient Cost?

    The triggering CPT events Trella Health uses for Physician Total Patient Cost metrics match the most recently published list from CMS regarding CPT codes that count towards MSSP Version-9 Attributi...

  • Where can I find the metric definitions in Explore?

    On the Explore page there are two places where you can find definitions for metrics.   Table Header In any table in Mosaic, in any table, the button in the column header is a button you can click...

  • Risk Score and Normalization

    Risk Scores and Normalization Factor  Normalization factor is based on the National Average FFS Risk Score and is not limited to just estimated DCE assigned lives.   The Normalization factor is ...

  • How does Trella Health identify Attribution?

    Attribution Attribution is also called "claims based alignment" or "Claims Aligned Lives." Read on and you will find that all of these aliases point to the same purpose of the method; connecting p...

  • How do we Calculate PMPM?

    Overview PMPM - Per Member Per Month - is a significant metric for evaluating your network or comparing two networks. To create these metrics we need to consider costs, patient attribution and elig...

  • How do I find provider and/or ACO information?

    How do I find basic information about a medical provider or ACO of interest?   There are two places where you can find basic information for a medical provider, on the Explore page and on the Anal...

  • Release Notes - June 24, 2020

    Understand Leakage Information in Patient Paths Understand the percent of patients who receive care outside your network in Patient Paths. We have added summary leakage statistics at both the netwo...

  • Insights

    Overview The Insights section of any analyze page will contain the most relevant metrics for the selected provider. Understanding the Metrics Hospitalization Rate This metric is the rate at which p...

  • Insights

    Overview  The Insights section of any analyze page will contain the most relevant metrics for the selected provider. These metrics will allow you to make a quick evaluation of the selected agency t...