Articles

Thought-provoking perspectives to keep you informed and inspired

Illustration of circular outdoor newsstand with displayed newspapers, trees, and a bird nearby.
90 results
Clear All
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Resource Filtering
Clear All
90 results
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Topics
View All Resources →
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Article
VBC contract growth is outpacing the operating model

VBC contract growth is outpacing the operating model needed to run it. See what Reveleer's 2026 State of Technology in VBC report found.

Learn More →
Article
Documented evidence defines defensible ACO risk adjustment

Under the LEAD Model, ACOs need AI insights matched to each role and evidence that survives CMS review.

Learn More →
Article
The audit will tell you which AI was ready

Why AI explainability is the regulatory floor, not the standard and what health plans should require before the next RADV audit.

Learn More →
Article
Enrollment errors erode Medicare Advantage margins

See how automated enrollment processing and CMS reconciliation can protect your margins before AEP opens October 15.

Learn More →
Article
A court ruling narrows the evidence base for Medicare Advantage Star Ratings

What the Clover Health ruling means for payer quality improvement strategies, Star Ratings, and bid resubmission.

Learn More →
Article
3 challenges MA plans face under CMS's 2027 Star Ratings changes

What health plan leaders at the Medicare Stars, HEDIS, Quality & Risk Summit discussed as the challenges ahead featuring Michael McNamara.

Learn More →
Article
Providers close care gaps year-round with the right data

Accelerate your HEDIS gap closure rates by enabling provider groups with predictive analytics and real-time member insights.

Learn More →
Turning CMS’s 24 proposed quality measures into an advantage
Article
CMS finalized its 2027 Star Ratings overhaul, cutting eleven measures and elevating HEDIS

Get the latest on CMS’s CY 2027 final rule impact on quality measures and how plans using evidence-linked AI will be ahead of the curve.

Learn More →
Article
Explainable AI works when clinical and IT teams align

The implementation question worth asking: Have we observed the workflows this technology will support?

Learn More →
Article
Provider abrasion starts with duplicate chart retrieval

How a centralized clinical data repository reduces provider abrasion by eliminating duplicate chart retrieval.

Learn More →
Ambulatory CDI operating architecture
Article
Ambulatory CDI programs require a distinct operating architecture

The difference between inpatient vs. ambulatory CDI operations and how that impacts HCC capture and audit readiness.

Learn More →
Balancing quality and compliance at scale in MA
Article
MA at the crossroads: Balancing quality and compliance at scale

What Medicare Advantage challenges are you facing in 2026? Dive into expert insights on Star Ratings, compliance, and payer strain.

Learn More →