September 17, 2026
One Partner. One Strategy. Confident Compliance.
Risk adjustment is evolving beyond the identification and capture of diagnoses As Medicare Advantage programs become more complex and regulatory...
May 27, 2026
The Power of One Record: Maximizing Data to Meet New Demands
As healthcare organizations continue adapting to evolving regulatory requirements, increased audit activity, and shifting quality measures, the...
April 8, 2026
CMS Final Notice 2027: What Plans Need to Know
On April 6, CMS released the Final Notice for Contract Year 2027 Medicare Advantage and Part D payment policies, outlining updates to rates,...
April 2, 2026
V28 Fully Realized: What Health Plans Learned and What Comes Next
The first full year of V28 is behind us What did we actually learn When CMS introduced V28, many organizations approached it as a model...
January 27, 2026
2027 CMS Advance Notice: Risk Adjustment and Quality Impacts for Medicare Advantage Plans
On January 26, 2026, the Centers for Medicare & Medicaid Services (CMS) released the 2027 Advanced Notice for Medicare Advantage (MA) plans,...
July 15, 2025
Why Continuity of Care After Health Assessments is Critical for Health Plan Success
Health assessments are often the first meaningful connection between health plans and their members They provide a unique opportunity to identify...
June 26, 2025
RADV Audits: What Medicare Advantage Plans Need to Know
Risk Adjustment Data Validation (RADV) audits are now an annual reality for every Medicare Advantage (MA) contract In what’s widely seen as the...
April 10, 2025
2026 CMS Final Notice: Everything Plans Need to Know
On April 7, the Centers for Medicare & Medicaid Services (CMS) released the final 2026 Medicare Advantage (MA) Capitation Rates and Part C and...
January 23, 2025
2026 CMS Advance Notice: Impacts on Medicare Advantage
On January 10, CMS released the 2026 Advance Notice for Medicare Advantage (MA) plans, detailing proposed changes to MA capitation rates and Part C...
January 8, 2025
The Value of In-Home Health Assessments: Insights from Nurse Practitioners
In-home health assessments offer a personalized approach to care, helping members address their physical, mental, and social health concerns in a...
