The landscape of CMS Star Ratings for Medicare Advantage plans with prescription drug coverage (MA-PD plans) witnessed a shift in 2024, with the average Star Rating dropping from 4.14 in

As the new year unfolds, healthcare professionals are not only setting personal resolutions but also strategizing for success in their respective fields. Among the critical considerations for 2024 is risk

As the healthcare landscape continues to evolve, it is imperative for Medicare Advantage Organizations (MAOs) and stakeholders to continuously assess opportunities for innovation and improvement within the Medicare Advantage risk

Recap of healthcare transformations in 2023 In 2023, the healthcare industry witnessed significant transformations that set the stage for the trends we can expect in 2024. One of the most

Introduction: In a recent audit conducted by the Office of Inspector General (OIG), SelectCare of Texas, Inc. (SelectCare), a Medicare Advantage (MA) organization, faced scrutiny for submitting diagnosis codes to

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In UShealthcare, organizations are continually seeking innovative ways to optimize their revenue streams and provide high-quality patient care. One critical aspect of this pursuit is efficient risk adjustment coding, a

Unlocking the full potential of healthcare begins with population health management. In an era where preventive care and proactive strategies are gaining prominence, it is essential to shift our focus