Risk Adjustment programs are here to stay as we move into a value-based world. With reimbursement for health plans and providers tied to these programs, ensuring they are lean, efficient,…
As if 2020 wasnโt overwhelming enough for payers who are battling a global pandemic while navigating all the many changes it brings to policies and reimbursement โ thereโs also a…
Payers and healthcare providers alike are in the constant pursuit of the triple aim in healthcare โ including better quality, greater value, and improved patient satisfaction โ as the shift…
Enrollment in Medicare Advantage (MA) Plans continues to climb each year. In fact, Medicare Advantage enrollment has doubled over the last decade. As the program takes on its increasing share…
While consumers continue to demand greater value in healthcare, they have very little way of knowing if theyโre getting it. Thatโs because healthcare (payers and providers) โ full of its…
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