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  • Medicare Advantage Risk Adjustment: It’s Not So Simple Anymore.
    By RaeAnn Grossman We all thought commercial with concurrent review, IVA, SVA, claims validation and EDGE server demands was tough, but Medicare Advantage risk adjustment with quality and care integration is moving just as fast and the data demands are more challenging than ever before. The strategies are shifting, regulations are changes, timing is expedited, […]
  • In Case You Missed It, Let’s Recap Risk Adjustment Founded on Business Intelligence (BI) Brilliance
    By RaeAnn Grossman Yesterday Jonas Foit and I conducted a webinar on the virtues of insightful analytics coupled with a deep diving BI tool.  BI tools are great for many reasons, here are a few: Highlighting program and project impact Illuminating strategic successes and efficiencies Bring to the surface tactical alerts and warnings Compiling member […]