Navigating Payment Integrity: Strategies for Success in 2024
The intricacies of payment integrity hold the industry in a perpetual state of adaptation. With data integrity and fiscal responsibility at the forefront, health plans need to manage cost containment efforts by driving down administrative costs and harnessing the power of technology. With shifting priorities, payers are prioritizing across all lines of businesses to directly […]
Read Full ArticleNew Resources
Unlocking Health Data’s Potential Across the Enterprise
In a healthcare landscape perpetually driven by data, the ability to harness insights from health data isn’t just a competitive edge — it’s a necessity for growth, efficiency, and improved outcomes. For those entrenched in the complexities of value-based care and other outcomes-based arrangements, the question is not whether to engage with health data, but […]
Read Full ArticleEmbracing the New Normal: Prospective Risk Adjustment
Embracing the New Normal: Prospective Risk Adjustment The healthcare industry is experiencing a significant transformation, shifting towards value-based care. With the shift to the new risk adjustment V28 model and increased pressure for compliance with the recent RADV ruling, prospective risk adjustment emerges as a pivotal strategy for healthcare providers and payers. This proactive approach […]
Read Full ArticleAll Resources
Payment Integrity Program Assessment
Read Full Article8 Ways to Streamline Your Prospective Risk Adjustment Program with AI
Read Full Article3 Ways Modernizing Your Chart Management Will Support Health Plan Success
Read Full Article4 Considerations for Your ACO’s Prospective Risk Adjustment Program
Read Full ArticleNavigating the RADV Ruling: Strategies for Health Plans to Ensure Compliance
Read Full ArticleHow to Prepare for the 2023 Medicare Advantage Sweep Season
Read Full Article3 Strategies to Maximize Risk Adjustment for MSSP & ACO REACH
Read Full Article6 Provider Benefits of Prospective Risk Adjustment
Read Full ArticleEliminate Prior Authorization Pain Points with AI
Read Full Article3 Major Challenges for Prior Authorization & How They Impact Your Utilization Management Goals
Read Full ArticleSolving the Prior Authorization Problem With Artificial Intelligence
Read Full Article4 Ways Apixio’s Apicare Pre-Visit Solution Improves your Value-Based Care Program
Read Full ArticleSign Up to Receive Updates on How Technology is Shaping the Way Healthcare is Delivered.