Thought-provoking perspectives to keep you informed and inspired

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

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

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.

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

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

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

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

Stop managing risk and quality in silos. Our RISE National wrap-up explores how alignment creates a new performance equation for healthcare leaders.

CMS is raising the bar for risk adjustment. Learn why V28 and RADV readiness require a shift from retrospective chart chasing to prospective workflows.

Understand the financial impact and transition to encounter-anchored workflows with CMS's proposed unlinked chart reviews.

Upgrade your health plan’s performance. Explore key pillars of a modern IVA audit strategy, from AI integration to resilient operating models.

Learn how to improve Medicare Advantage performance after AEP by identifying hidden risks like data lags and attribution delays.