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Tag: Quality Management

  • September 26, 2016

    Aligning Risk Adjustment and Quality Management to Impact Profitability and Compliance

    By Steve Whitehurst

    Risk Adjustment and Quality typically operate in distinct silos, despite the fact that they are both working to achieve goals that are closely related. Our CEO calls for collaboration between these different but closely aligned components.

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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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