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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…
Read More‘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…
Read MoreThe 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.
Read MoreThe 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…
Read MoreCan 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…
Read MoreHealthcare 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…
Read MoreHIMSS24 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…
Read MoreTelemedicine 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…
Read MoreDeaths 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…
Read MoreACOs 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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