Blog
What is Risk Adjustment in Healthcare?
Risk adjustment is a critical part of both the financial and clinical ...
Blog
Machine Learning in Healthcare and the Value of Human Expertise
When discussing artificial intelligence like NLP, the use of machine learning in ...
Blog
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 ...
Blog
CMS Submission Deadline Extension Clarification
On 9/18/20, CMS announced a submission deadline extension option for 2020 dates ...
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Medicaid Risk Adjustment: Even if Your State’s Medicaid Hasn’t Expanded, Your Risk ...
Managing Medicaid risk adjustment is almost never a top priority. State by ...
Blog
HCC Recapture is Critical, HCC Recapture is Never Enough
Recently, we discussed the imperative of HCC recapture, especially in a year ...
Blog
CMS Policy Update on Encounter Data and Positive Risk Score Impact
On September 14th, CMS released part I of an advanced notice on ...
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HCC Recapture Rate for Disease Burden, Provider Performance, and COVID-19 Risk: How ...
An effective and essential risk adjustment strategy includes the prioritization of chronic ...
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ACO Benchmark Calculation: Successfully Understanding the two Levers of Cost and Risk
Our latest ebook, Pulling Both Levers: A Four-Year Analysis of Medicare Cost ...
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Medical Loss Ratio and COVID-19: Investment, Risk, and Looking through 2022
For payors, Medical Loss Ratio is down to a point of short-term ...
Blog
True Disruption: Three Ways the Pandemic has Shaped Risk Adjustment Technology
Health Fidelity CEO Steve Whitehurst shares how our company has worked to ...
Blog
Flattening the Other Curve: Using Risk Adjustment to Manage Rebounding Patient Volumes
As care patterns continue to shift, and we see new utilization patterns, ...