Success for health plans and risk-bearing entities in the post-pandemic world requires making the member experience a central aspect of their offerings. Those that achieve high ratings attract more members…
Demand for health information exchanges (HIEs) is growing with the drive toward interoperability and the need to maintain compliance with standards for value-based care. An HIE allows providers to better…
Medical coding is vital to practically every facet of modern healthcare. It guides the patient journey, impacts administrative workflow and influences the revenue cycle. Accurate medical coding is essential to…
Patient-centric care is a healthcare model that emphasizes the patient experience. It requires a multifaceted approach that redesigns care plans that focuses on patients as individuals and their success and…
Medicare Advantage (MA) risk adjustment (RA) relies on strong connections between members, providers, and payers, accurate coding, and detailed data submissions. It is a process that continues to evolve to…
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