NLP Healthcare – Risk Adjustment Meets Artificial Intelligence
Big data is all the rage – transforming industries from tech to retail and much more. Healthcare – an industry slow to adopt technology in many ways now has access…
It’s Working – CMS Report Concludes the Effectiveness of Risk Adjustment
In late June, the Centers for Medicare & Medicaid Services released data demonstrating that its Risk Adjustment Program – developed as part of the Affordable Care Act just five years…
The #1 Most Critical Driver in the Successful Adoption of Shared Risk Programs
The unavoidable shift toward value-based and two-sided risk payment models is here to stay – and while the benefits are countless, the journey thus far has been slow and somewhat…
Strategies for Mastering Two-Sided Risk
Population health and the transition to two-sided risk is no easy feat – it’s a monumental shift in the way providers, payers and hospitals think about the delivery of health…
Accurate RAF Scores Could Mean Billions in Savings for Medicare
A recent study published by the Kaiser Family Foundation sheds light on a complex issue – how to determine the real or predicted cost of care for Medicare Advantage plan…
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