Medicare Rule Changes 2026: What Healthcare Organizations Need to Know

Navigating the Medicare Landscape: Implications of the Latest Rule Changes for Healthcare Organizations

By Brian Norris

The Centers for Medicare & Medicaid Services (CMS) has recently unveiled significant proposed changes to Medicare Advantage (MA), Medicare Prescription Drug (Part D), and Medicaid programs. Announced on November 26, 2024, these updates…

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Introduction to social risk: What healthcare leaders need to understand

By Editorial Team

‘Social determinants of health’ has been a common phrase for decades now, but the term social risk is much less popularized. So, what does it mean and is it all that different from…

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AI is your new crystal ball: How predictive analytics can reduce denials

By Editorial Team

The idea of having a crystal ball to better understand what claims will be denied is an awesome concept. But one we can’t rely on. Thankfully, we have predictive analytics to take the place of a crystal ball.

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Position your organization for success under CMS-HCC V28

By Editorial Team

The transition from CMS-HCC V24 to V28 heralds a significant shift in risk adjustment methodologies and emphasizes improved accuracy and granularity, promising more equitable resource distribution and significant financial implications for Medicare Advantage…

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Adapting nursing education and practice in a post-pandemic, technology-dependent world

By Editorial Team

Can AI help reduce nurse burnout? What role should nurses play in regulatory conversations? How do clinical training programs incorporate tech literacy into curriculum? Join a panel of three incredible nursing leaders and…

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Enhancing healthcare delivery with explainable AI: A methodological leap forward

By MedeAnalytics

Healthcare providers and payers continually seek methods to enhance patient care and operational efficiency. With the advent of complex data sets in healthcare, there is a pressing need for advanced analytics to not…

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Another year, another great HIMSS!

By Editorial Team

HIMSS24 was a fantastic event, as always. One of our favorite additions this year was the Digital Health Technology Theme Park. It featured experts and exhibitors from all areas of the healthcare technology…

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Optimize your midcycle for telehealth services

By Jennifer Rydd

Telemedicine is now a permanent fixture in homes across America. A majority of healthcare organizations have established the technology necessary to facilitate virtual health encounters, but the financial components of telemedicine have been…

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Three ways to improve patient retention in recovery programs

By MedeAnalytics

Deaths from drug overdoses have increased from ~1 per 100,000 in 1999 to ~4 per 100,000 in 2020.1 The introduction of fentanyl has only exacerbated and accelerated this crisis, driving a 282% overdose…

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ACOs and value-based care in 2024: Four key questions and answers

By Editorial Team

ACOs have long been at the front lines of value-based care efforts. In a recent LinkedIn Fireside Chat, Andy Dé sat down with David Bartley and Brian Norris to discuss how critical ACOs…

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