We manage over 5,000,000 members within our Medicare Advantage risk adjustment solutions. Each population (or line of business) has distinct healthcare demands, clinical clues, compliance concerns, and best practices for success in risk adjustment. The Medicare Advantage population is the most studied (from a risk adjustment standpoint).
ArroHealth offers the following services around Medicare Advantage members and patients:
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, […]
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 […]