Explore the challenges of Medicaid Risk Adjustment with the CDPS+RX model, including underreporting of chronic conditions, documentation gaps, and limited member engagement.
Author: Siva Tunga
Safeguarding Healthcare Systems: Navigating Cybersecurity Challenges & Implications
Learn how cyberattacks on healthcare technology companies disrupt operations, compromise patient care, and necessitate robust cybersecurity measures.
Empowering Healthcare Data Management with AI: Insights from Invent Health
Learn how Invent Health transforms healthcare with AI, ensuring accuracy & outcomes and AI’s role in healthcare data management.
Debunking Myths: The Role of NLP, AI, and ML in Healthcare
Unraveling the Truth: Debunking NLP, AI, and ML Misconceptions in Healthcare | Gain insights into the reality of Natural Language Processing, Artificial Intelligence, and Machine Learning in healthcare.
Navigating the Impact of Dropped HCC Codes in the CMS HCC V28 Model: A Guide for Health Plans
Impact report for dropped HCC scores in CMS HCC model v28
Understand the Technical changes based on CMS Advanced Payment Notice
The Centers for Medicare & Medicaid Services (CMS) has proposed the V28 model to replace the current V24 in 2024 for Medicare Advantage and Part D plans. The annual Advance Notice outlines payment and coverage policies for the upcoming year, bringing changes that may impact consumers. Brace for impact and stay informed.
CDPS Model Approach 2023
Learn how changes in CDPS risk models affect health plans and providers working with Medicaid populations in 2023