Industry Blog
Recent Blog Entries
The 21st Century Cures Act Impact on Medicare Advantage Risk Adjustment: Part II – Adjusting for Additional Conditions
The 21st Century Cures Act includes newly-designated conditions for mental health disorders, substance abuse disorders, and chronic kidney disease.
The 21st Century Cures Act Impact on Medicare Advantage Risk Adjustment: Part I – Adjusting for the Number of Conditions Each Enrollee Has
In addition to the impact on health IT interoperability, the 21st Century Cures Act (CCA) has profound Medicare reimbursement policy implications.
Interoperability Requirements for Health Plans: Part II
Additional key provisions of the new interoperability rule which impact health plans.
Interoperability Requirements for Health Plans: Part I
Health plans face a number of new requirements to be compliant with the CMS interoperability final rule.
The Interoperability Rules: Early Implementation Challenges
Implementation of the new interoperability rules presents a number of challenges for health care organizations.
AI in the Federal Government: RaLytics™ Technology Platform and Policy-Driven AI Tools are Designed to Help Pave the Way Forward
New advances in the field of artificial intelligence offer exciting opportunities to increase the efficiency of the federal government.
Potential COVID-19 Impacts on Medicare Managed Care Risk Adjustment
The COVID-10 pandemic has upended the health care industry, creating new challenges in the world of risk adjustment.
Artificial Intelligence Can Improve Risk Adjustment Data Validation for Managed Care Plans Serving Duals
How artificial intelligence could be leveraged to significantly improve the oversight of managed care plans serving dual-eligible beneficiaries.
Updates to Federal Regulations for Health IT Interoperability and What it Means for AI
New rules around interoperability have been issued to advance the adoption of electronic health record systems.