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
Agentic AI for ACO risk adjustment needs a defensibility standard

Learn how agentic AI with clinician oversight and audit trails is necessary to maintain compliance under CMS scrutiny.

Learn More →
Article
VBC data integration scores high, but quality is the top barrier

Connected systems don't guarantee trusted records. See why data quality tops the value-based care integration barrier list.

Learn More →
Article
Predictive HEDIS gap identification gives quality teams months to act

Get ahead of claims lag and reach independent practices without an EHR connection to close HEDIS gaps months earlier.

Learn More →
Article
Defensible risk adjustment requires one evidence chain

Eliminate dual-standard audit exposure and reconciliation costs. Learn why defensible risk adjustment requires vendor consolidation under one chain.

Learn More →
Article
Security is a standard every healthcare partner should prove

Learn the 5 questions to ask technology partners about healthcare cybersecurity standards and compliance.

Learn More →
Article
VBC technology adoption is outpacing workflow automation

Explore why technology adoption stopped being the constraint on value-based care performance in 2026.

Learn More →
Article
HEDIS MY 2027 arrives with a digital, outcomes-based mandate

Prepare for HEDIS MY 2027 changes and the shift to digital transition with 6 new measures and ECDS shifts.

Learn More →
Article
Hybrid HEDIS retirement makes year-round gap closure the strategy

The transition timeline shaping Medicare Advantage quality operations and the shift to digital quality measures.

Learn More →
Article
VBC contract growth is outpacing the operating model

Explore why every payer reports value-based care contract growth while operational readiness lags behind.

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 →