Utilizing AI-Powered Quality Abstraction to Position Your MA Star Ratings for Success

This white paper is designed to provide payers with information and guidance on how automating the prior authorization process can lower administrative burden and operational costs while enabling the delivery of faster, more efficient care.

The COVID-19 pandemic has changed everything about the way we live and work. The dramatic shifts are perhaps most prominent in the healthcare industry, where we’ve seen a larger portion of patient interactions shift from in-person to remote. To help providers and payers understand how AI solutions can enhance care delivery in the new normal, […]

This guide is designed to be a foundational reference for ACOs participating in the Alternative Payment Model (APM) including an overview of the CMS HCC model and key factors/KPIs for risk adjustment success. It supports multiple CMS innovation models under APM that involved risk-based payment: Medicare Shared Savings Programs (MSSP), Next Generation ACOs (NGACO), and  Direct Contracting Entity (DCE).