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Tag: Health Plans

Risk Adjustment Insights for Health Plans

Risk adjustment insights for health plans. Health plans are making risk adjustment decisions using just 20% to 30% of available medical data which inevitably leads to inaccurate coding and unidentified risk. Learn how you can optimize your risk adjustment program in our blog.

  • March 18, 2021

    2021: The Year of Optimized Risk Adjustment 

    By Abby Bilyeu

    Calling 2020 disruptive to healthcare is an understatement. But 2021 offers some unique opportunities to become a year of optimized risk adjustment. With the signing of the American Rescue Plan Act of 2021, barriers and premiums for COBRA have been reduced or eliminated, there are new Medicaid expansion incentives, and the ACA marketplace has an […]

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  • April 30, 2020

    Risk Adjustment and Telehealth Policy under COVID-19

    By Chris Gluhak

    Health Fidelity offers conclusions on the flurry of CDC and CMS telehealth policy updates around coding and risk adjustment practices under COVID-19

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  • January 9, 2018

    A Look at 2018 Healthcare Trends: Leveraging Technology to Scale and Succeed

    By Steve Whitehurst

    Here are the top 4 healthcare trends we see for 2018. Find out how the CVS and Aetna merger will impact the way healthcare entities operate moving forward, and why AI and machine learning will continue to be a hot topic.

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Health Fidelity simplifies risk adjustment, offering risk-bearing organizations clear visibility into and control over the process. Through our NLP-powered solutions and expert advisory services, we uncover insights that enable better care plans and more complete revenue capture. The Lumanent® suite gives our partners the confidence to pursue and ability to succeed in risk-sharing arrangements across MA, ACA, Medicaid, and ACO programs.

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