Thought-provoking perspectives to keep you informed and inspired

CMS is changing Medicare Advantage audits. Learn how new RADV audit requirements impact your MA plan and how to stay compliant.

Get the latest on CMS’s proposed quality measures and how plans using evidence-linked AI will be ahead of the curve.

Prospective action + retrospective confidence: the blended AI approach reshaping risk adjustment in value-based care.

Learn how leading health plans achieve HEDIS excellence by moving from an annual scramble to a proactive, year-round discipline built on data, teamwork, and continuous improvement.

Explore how Reveleer’s AI-powered tools accelerate HEDIS abstraction and care gap closure, driving up to 75% efficiency gains and 95% accuracy to improve Star Ratings year-round.

Learn how Reveleer's explainable AI moves beyond black box models to deliver measurable outcomes for patients, providers, and health plans through transparent clinical reasoning.

Learn how Reveleer's provider engagement solutions bridge payer-provider gaps through intelligent automation, seamless workflows, and continuous collaboration.

Learn why GenAI alone fails for risk adjustment and how Reveleer's hybrid approach combines evidence extraction with clinical reasoning to reduce noise by 50%.

Discover how service models, coder proficiency, and data quality impact AI risk adjustment outcomes and learn to measure true ROI.

Reveleer CEO Jay Ackerman details how AI is transforming value-based care by unifying fragmented clinical data, enabling true payer-provider collaboration, and automating complex workflows.

Discover how Reveleer's explainable AI delivers transparent clinical reasoning with 3,300+ expert formulas, reducing noise by 45% while ensuring regulatory compliance.

Discover how our enrollment solutions automate TRR/TRC processing and dual-eligibility management for stress-free AEP 2027 preparation.