‘I’m really scared’: Elderly and disabled Californians with more than $2,000 could lose Medi-Cal
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How to Succeed in ACO Implementation: Essential Strategies and Insights
Accountable Care Organizations (ACOs) are at the forefront of healthcare’s shift toward value-based care, aiming to enhance patient outcomes while
CMS-HCC V28 Overview: What Medicare Advantage
The Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Categories (HCC) model plays a crucial role in risk adjustment
Optimizing Clinical Operations in ACOs
As the healthcare industry transitions more towards value-based care, optimizing clinical operations within Accountable Care Organizations (ACOs) has become essential
Decoding RADV Audits: A Comprehensive Guide for Health Plans in 2025
The landscape of Risk Adjustment Data Validation (RADV) audits is shifting rapidly. With CMS doubling the number of audits and