Risk Adjustment Compliance

CJR Model's $180M savings pave way for nationwide expansion
Medicare's bundled payment model for joint replacements cut costs by $180 million in its final three years without compromising ...
Site-neutral payments could save over $12B
A new analysis from EBRI finds significant cost savings for health plans and employers under site-neutral payments, although ...
8% of hospital-insurer contract disputes go public: study
For-profit hospitals are more likely to publicly threaten to leave an insurer's network, although very few of these disputes end ...

Investor suit says UnitedHealth ignored governance, cybersecurity gaps for years
The laundry list of allegations include claims that UnitedHealth deceived investors, artificially inflated share prices and ...
Cyberattack forces temporary closure of 83 AnMed facilities
Nonprofit health system AnMed's medical group and imaging offices will be closed on July 27 as it responds to a cyberattack; ...
Hackers steal customer data from major hospital software vendor
The breach is another reminder of how vulnerable the healthcare industry is to supply-chain attacks.

How health systems are winning over late adopters of AI scribes
Leaders from healthcare organizations in New York, West Virginia and Boston shared thoughts on getting late adopters on board ...
Member engagement influences digital health spending, report shows
Providers, payers and employers are prioritizing member engagement in digital health investments, with low enrollment being a ...
Why archival planning is critical when transitioning EHRs
To preserve data during its EHR transition, Pender Community Health partnered with a technology vendor to consolidate EHR data ...

Are AI agents the key to optimizing online appointment scheduling?
Community Health Network deployed AI agents to help navigate consumers through the common logjams that keep them from using ...
Data privacy concerns could hold patients back from using AI
Although artificial intelligence has quickly become integrated into our daily lives, Americans say they’re becoming increasingly ...
Access, not hesitancy, stymies flu vaccine rates
Surveying shows vaccine hesitancy isn't all that's dampening flu vaccine rates, as care access and mixed messaging keep people ...