Posts Tagged ‘medicare advantage’
“Bermuda triangle” of Medicare Advantage scrutiny signals alarm bells: Get your risk adjustment house in order
By Jason Jobes Is healthcare prepared to sustain the onslaught of changes to Medicare Advantage payments? How will it impact the industry? How does it impact you? At the beginning of this month I attended the RISE conference, which serves a community of established and emerging leaders in the Medicare Advantage and managed care space.…
Read MoreAHA critiques Medicare Advantage, makes recommendations regarding sepsis criteria, SDOH, and medical necessity determinations
By Brian Murphy The American Hospital Association’s commentary to CMS on the Medicare Advantage (MA) program CY 2024 proposed rule is a good read … if you are a CDI and coding policy wonk who likes this sort of thing. As I do. Because it offers a candid look into who wields the ultimate power…
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