AI for Risk Adjustment: Choosing Whether to Build or Buy
Introduction If you lead technology or risk adjustment at a Medicare Advantage plan, you’ve faced this question: Should
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Introduction If you lead technology or risk adjustment at a Medicare Advantage plan, you’ve faced this question: Should
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TL;DR: Key Takeaways The RxHCC model for 2026 has been recalibrated to reflect lower drug costs from Medicare
TL;DR: Key Takeaways RAAPID solves the healthcare trilemma: Novel Clinical AI Platform powered by neuro-symbolic AI technology achieves
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Your risk adjustment team is drowning. 50,000 charts to review. Your CFO wants answers about that $15M revenue
Risk Adjustment Continuum Is Premised On Payer-Provider Collaboration Understanding The Risk Adjustment Continuum In Changing Times The Importance
The arrival of new regulations such as the RADV Final Rule and the 2023 Final Rate Notice has
Ever wonder how healthcare plans balance their premiums despite enrolling individuals with varying health risks? Enter Risk Adjustment