Blog
Health Fidelity Company Culture: The Hackathon
There’s no shortage of focus on innovation in technology. It’s a big ...
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What is two-sided healthcare risk?
Depending on your role at a health plan or risk bearing health ...
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MA Deadline Extensions for 21-22: CMS Policy Update and Strategy Guidance
Earlier this year, we discussed the final call letter from CMS detailing ...
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Ten Years of Health Fidelity: Natural Language Processing in Healthcare
Health Fidelity’s NLP engine Lumanent Insights was created based on the NLP ...
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2021: The Year of Optimized Risk Adjustment
Calling 2020 disruptive to healthcare is an understatement. But 2021 offers some ...
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ACA Risk Adjustment: A Competitive Advantage
With the Biden administration re-opening the ACA exchange and the impacts of ...
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CMS Policy Update: RAPS and EDPS, Model Updates, and PY 2022 Risk ...
Last month, CMS released their final announcement for calendar year (CY) 2022. ...
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The Opportunity and Benefits of the Clinical Review Specialist
A hallmark (and problem) of technology in healthcare has been the drive ...
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What is Risk Adjustment in Healthcare?
Risk adjustment is a critical part of both the financial and clinical ...
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Machine Learning in Healthcare and the Value of Human Expertise
When discussing artificial intelligence like NLP, the use of machine learning in ...
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Pre-Encounter Risk Adjustment: If You Try Sometimes, You Get What You Need
As the significance of provider risk adjustment grows, especially within the clinical ...
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CMS Submission Deadline Extension Clarification
On 9/18/20, CMS announced a submission deadline extension option for 2019 dates ...