Related Articles
Providers face some financial risk under value-based care. Risk adjustment coders safeguard payments by auditing files for accurate coding.
CMS releases star ratings annually to help patients choose a Medicare Advantage plan that best meets their needs. Higher star ratings are important for providers and payers alike, but they’ve have been on the decline as of late. Is it possible to raise them?
Social determinants of health (SDOH) impact healthcare for Medicaid patients. Community health worker/payer partnerships help mitigate SDOH and reduce unnecessary ED visits.