Are you ready for major changes impacting your healthcare costs in 2025? Even though it’s several months off,

In the ever-evolving Medicare Advantage risk adjustment landscape, understanding the shifts and developments is crucial for staying competitive

How CMS Star Ratings are assessed The Centers for Medicare & Medicaid Services releases its quality Star Ratings

Between 2024 and 2025, payments to Medicare Advantage plans are anticipated to increase by an average of 3.70

Introduction The Hierarchical Condition Category (HCC) risk adjustment model, initially introduced by CMS in 2004, serves as a

CMS UNVEILS THE PROPOSED FINAL RULE FOR MEDICARE ADVANTAGE IMPACTING HEALTH PLANS, PROVIDERS & PATIENTS. The 724-page final

The release of the 2024 Medicare Advantage Star Ratings marks a critical juncture for health plans participating in

The Medicare Risk Adjustment landscape is a complex one, with health plans constantly striving to ensure accuracy in