“I am delighted to recommend Michelle for her exceptional contributions as a Provider Services Expert. From the moment she joined our team, Michelle demonstrated an extensive knowledge of provider services that quickly established her as a go-to resource for both colleagues and clients. Michelle is a self-starter who consistently takes the initiative to improve processes, streamlining operations in ways that have significantly enhanced our team’s efficiency. Her dedication to her work is evident in everything she does; she approaches challenges with a positive attitude and a problem-solving mindset, always willing to go the extra mile to ensure success. Her ability to foster collaboration and support her colleagues has made her an invaluable asset. Michelle’s willingness to share her expertise and help others has created a more cohesive and productive work environment. Moreover, her warm personality and genuine enthusiasm make her a joy to work with. I wholeheartedly recommend Michelle for any opportunity that values dedication, expertise, and a collaborative spirit. She will undoubtedly be a tremendous asset to any team.”
About
Dynamic leader with demonstrated experience in insurance, health-tech startups, claims…
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Volunteer
Feed My Starving Children
- 9 years 5 months
Poverty Alleviation
Feed My Starving Children (FMSC) believes hope starts with food. FMSC works with food distribution partners that stay with communities for the long haul, empowering them to move from relief to development.
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Project Portfolio
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1 person has recommended Michelle
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Certifi, Inc
Big things are in store for Medicare Advantage in 2024 and beyond! CMS enacted several new rules impacting health plans, from electronic prior authorization to Star Ratings revisions. Here's a quick glimpse at some key changes: ** Electronic Prior Authorization:** Plans must adopt electronic systems for prior authorization by 2026, streamlining the process for both providers and patients. ** Star Ratings Updates:** CMS is addressing concerns about certain measures and introducing a Health Equity Index in 2027. ** Utilization Management:** Plans must adhere to Medicare coverage rules, post internal criteria, and establish a review committee for utilization management policies. ** Marketing Makeover:** New rules restrict sales calls, mandate plan explanations, and prohibit misleading marketing tactics. ** Medicare Prescription Payment Plan:** Patients with high drug costs can spread them out across the year starting in 2025. This is great news for beneficiaries, but plan sponsors face operational challenges. ** Behavioral Health Access:** Improved network adequacy standards for behavioral health services are coming; CMS aims to ensure better access to psychiatry, psychology, and social work for Medicare Advantage enrollees. ** Agent and Broker Compensation:** CMS aims to reduce potential bias and enhance market transparency. ** Health Equity:** CMS proposes including a health equity expert in Utilization Management Committees and analyzing prior authorization requests through an equity lens. Want to dive deeper? Here's a link to more information: https://hubs.ly/Q02dNPTQ0
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Certifi, Inc
Big things are in store for Medicare Advantage in 2024 and beyond! CMS enacted several new rules impacting health plans, from electronic prior authorization to Star Ratings revisions. Here's a quick glimpse at some key changes: ** Electronic Prior Authorization:** Plans must adopt electronic systems for prior authorization by 2026, streamlining the process for both providers and patients. ** Star Ratings Updates:** CMS is addressing concerns about certain measures and introducing a Health Equity Index in 2027. ** Utilization Management:** Plans must adhere to Medicare coverage rules, post internal criteria, and establish a review committee for utilization management policies. ** Marketing Makeover:** New rules restrict sales calls, mandate plan explanations, and prohibit misleading marketing tactics. ** Medicare Prescription Payment Plan:** Patients with high drug costs can spread them out across the year starting in 2025. This is great news for beneficiaries, but plan sponsors face operational challenges. ** Behavioral Health Access:** Improved network adequacy standards for behavioral health services are coming; CMS aims to ensure better access to psychiatry, psychology, and social work for Medicare Advantage enrollees. ** Agent and Broker Compensation:** CMS aims to reduce potential bias and enhance market transparency. ** Health Equity:** CMS proposes including a health equity expert in Utilization Management Committees and analyzing prior authorization requests through an equity lens. Want to dive deeper? Here's a link to more information: https://hubs.ly/Q02dNz5P0
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Health Chain
Register to close care gaps using CDI: https://lnkd.in/gXRqb3Be Healthcare disparities plague the industry, leading to worse health outcomes for specific member groups. Traditional administrative claims data often lacks the clinical granularity needed to expose the full picture. This webinar tackles the power of Clinical Data Integration (CDI) in identifying these hidden disparities. Leverage the expertise of Health Chain as we delve into how CDI programs can analyze clinical data to reveal: 🎯 Disparities in Dx/Px Rates: Unearth discrepancies in diagnosis (Dx) and procedure (Px) rates across different member segments. This unveils potential under-treatment or missed opportunities for early intervention in high-risk populations. 🎯 Preventive Care Gaps: Uncover potential differences in preventive care utilization across different member segments. Racial and ethnic minorities often experience lower rates of preventive screenings compared to white populations. 🎯 Leverage CDI to identify these disparities and develop strategies to close the gap and improve overall population health. 🎯 Social Determinants of Health (SDOH) Impact: Social factors like income, education, and access to healthy food significantly influence health outcomes. 🎯 Leverage CDI to identify SDOH impacting specific communities within your member base. Here from Nikita Ravindran and Vinay S. how Health Chain’s robust CDI solutions can be used to identify these disparities within your member population. Tune in at 1pm CST | 11am PST on 27th September 2024 to learn practical strategies to leverage rich clinical data captured through CDI for developing targeted interventions and improving health equity for all members. Bonus for attendees 📣 Get a free copy of Gartner’s report on “How Clinical Data Integration Improves U.S. Healthcare Payer Interoperability” #CDI #Caregaps #populationanalytics #healthcaredata #FHIR #payers #HCwebinars #Gartner Sudheen (Sudheendra) Kumar Mason Burr
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HCUnity
CMS Proposes Medicare Reimbursement Cuts for Home Health Agencies in 2025 The Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that could significantly impact home health agencies in 2025. Key points include: Medicare reimbursements to home health agencies may decrease by 1.7% (about $280 million) in 2025. #homehealth #CMS2025rule #rpmsaas #ccmsaas #rpmsolution #remotepatientmonitoring #caremanagement
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Kollect MD
Problem: Too many claims being held or written off, and aging AR is growing. How many practices have experienced this with their EHR platform? RCM programs that submit claims and provide minimal follow-up on those that are not paid for various reasons (additional documentation required, different code or modifier needed, etc.) cost physicians revenue that they should be receiving. Solution: KollectMD can access your existing EHR platform to analyze your aging AR to determine which claims are still eligible for payment and resubmit them, working with your office staff to ensure all necessary information is included prior to resubmission. We can also run custom denial reports on a regular basis and review it with you so that errors can be corrected for future claims. Our team is committed to making sure you receive the revenue you are entitled to. If you want to learn more about how our services can improve the operation of your practice, contact us at [email protected]. #revenuecyclemanagement #medicalbilling #medicalcoding #medicalbillingandcoding #medicalpracticemanagement
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Hanabal Khaing
Real IT experts cannot complete a real project for a fake price you got from fake IT experts. Fake IT experts will promise things like a government medicare EHR system for $2,500,000 developed from scratch. Just the legal certification work on a medicare project is up to $20,000,000! The data modeling structure is $36,000,000 to over $50,000,000! The retail copyright sale price for ANY type of EHR starts at $4 BILLION; even for an old one. A new real-time EHR with integrated Sales, FHIR, Canonical data exchange, ERP, CRM, AI/BI, SCM, etc. starts at $30 BILLION. The real-world development cost of a new real-time secure and modern medicare compliant EHR is $900,000,000 over 36+ months. It is the size of two ERP projects due to complex eligibility requirements and constant additions to the law which has restrictions by age, location, payment type limits, coverage gap limits, etc. Medicare laws change at least once per year, which causes cascading changes system-wide. However, the system must also operate in the previous mode with previous versions of the law for care rendered before new changes in the law took effect. The data model has to be extremely advanced to keep up with changes in the law by anticipating what can and will change and shifting the logic to changes in settings and data instead of multiple changes to the data model structure. Otherwise, the legal change updates alone could cost over $1 BILLION per year per EHR. If the EHR is not updated correctly, there will be millions to billions in fines, reduced medicare reimbursement, information blocking, etc. Also, medicare requires anti-fraud, which requires real-time data capable of multidimensional temporal atomic data model structures. There is no way a fake IT expert can do that. At best, they can make one big insecure, poorly performing table that is in the format of a fake webpage. Companies have paid over $1.5 BILLION in medicare fraud cases because they cut corners and cut costs in analysis and design for business requirements analytics and data modeling structure design which encodes law directly into the UML structure to enforce requirements collected during the analysis. https://lnkd.in/gzriRRJ3 https://lnkd.in/gxQjwPAQ
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Envita Health
🚨 **Important Industry Update: HealthPartners Exits UnitedHealthcare's Medicare Advantage Network** 🚨 HealthPartners, a notable nonprofit healthcare organization, has announced its departure from UnitedHealthcare's Medicare Advantage network effective next year. This strategic move is in response to an alarmingly high rate of claim denials and payment delays by UnitedHealthcare, reportedly up to 10 times higher than other insurers. Key insights: 1. **Elevated Claim Denials**: The significant disparity in denial rates could indicate systemic inefficiencies or differing operational standards. 2. **Impact on Services**: This decision will notably affect services at HealthPartners and Park Nicollet clinics, including Methodist, Regions, and Lakeview hospitals. 3. **Transition Period**: HealthPartners will remain in-network until year’s end and is committed to providing support to those navigating this change. **Industry Implications**: - **Provider-Insurer Relations**: This move might prompt other providers to reassess their partnerships based on claim processing experiences. - **Patient Care Continuity**: Ensuring smooth transitions and maintaining care quality will be critical during this phase. Let's discuss: How can healthcare providers and insurers better collaborate to minimize claim denials and ensure timely payments? Your thoughts and insights are invaluable! 💬👇 #Healthcare #MedicareAdvantage #HealthPartners #UnitedHealthcare #IndustryChange
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HealthAxis Group
In case you missed it, CMS rolled out significant updates this July that every health plan administrator should be aware of. From the evolving Medicare Prescription Payment Plan (M3P) to new guidance on Parts C & D Enrollee Grievances and Organization Determinations, staying compliant has never been more critical. Get a detailed breakdown of what these changes mean for your plan in our latest blog, featuring insights from Kelly Thao, our Sr. Compliance Analyst. Dive into the blog here ➡️ https://ow.ly/GfAk50TG8SG #MedicareCompliance #HealthcareCompliance #HealthPlans #MedicareUpdates #HealthAxis #CMS #ClaimsProcessing #ClaimsManagement #Medicare #MedicareAdvantage #Prescriptions #AppealsAndGrievances #Consulting #CAPS #Determinations #HealthIT #HealthcareTechnology
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Uppercentile
Many of you have already seen this news about the RPM market... So, what’s the solution? For RPM to thrive, purchasers need to rethink their RFP process. Here’s how: 1. Prioritize Patient Education Ensure that RFPs ask providers to include comprehensive training for patients on how to use RPM devices. This is essential to close the service gap identified in the OIG report. 2. Support Setup & Onboarding Purchasers should require clear, documented plans for device setup support. Patients need help getting connected, and this must be part of the service offering from the start. 3. Implement Data Transmission Redundancies Data transmission failures were a key issue in the report. Purchasers should insist on robust, redundant data transmission plans in their RFPs, ensuring that patients' health data consistently reaches healthcare providers. RPM is at a crossroads—but with better sourcing and stricter requirements in place, the market can continue to grow responsibly and sustainably. How will your organization adapt? https://lnkd.in/gkV9W6B3 #RemoteMonitoring #HealthcareRFP
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Aspirion
As the saying goes, "You don't know what you don't know." When revenue cycle teams are stretched thin—juggling daily operations while trying to manage complex billing processes—they often miss opportunities to improve efficiency and capture additional revenue. While your staff knows their processes inside and out, tunnel vision can be costly. How can healthcare organizations break free from this cycle and uncover hidden opportunities for growth? Read our latest blog for answers→ https://hubs.li/Q02VLLmK0 #RCMblog #staffingshortage #vendorpartner #revenuecyclemanagement #rcm #artificialintelligence #ai #machinelearning #ML #automation #denialsmanagmenteducation #healthcarercm #denialsmanagement #denialsprevention #denialsresolution #claimsreimbursement #claimsmanagement #deniedclaims #denialsworkflows #revenuecyclemanagementeducation #RCMtechnology #healthcare #healthcarercm #complexrcm #complexclaims #workerscomp #motorvehicleaccident #mva #outofstatemedicaid #oos #veteransaffairs #VA #tricare #agedar #underpaymentrecovery
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Healthcare Financial Systems
It's a good question, and one everyone is asking, but is it the right question at the right time? Medicare Advantage needs to get on the same page with Healthcare providers. Are the providers being heard? Extremely slow pay and excessive denials must be address so that the current failing processes within Medicare Advantage, can be corrected before expanding their footprint; otherwise they risk repeating failing internal processes that are clearly broken and not efficient. It's the members that suffer in this scenario. Let's hear from you. What ideas do you have for addressing the issues? https://lnkd.in/dvZyqJPA
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Health Care Law at Epstein Becker Green
📅 Webinar (5/20, 1:00 pm ET) | HHS’ Office of Civil Rights has published a final rule with a significant requirement for any covered entities, including health care providers and payers, that use algorithms potentially impacting patient care or access. Is your organization prepared? Join Epstein Becker Green's Lynn Shapiro Snyder and Bradley Merrill Thompson, RAC, as they explore how the rule goes beyond simply prohibiting algorithmic discrimination and requires due diligence by health care providers and payers in the form of a compliance program. Here’s what you’ll learn: ▶ Key risk areas for algorithmic discrimination ▶ Understanding the scope of the new rule, specifically with regard to what types of algorithms are subject to it ▶ The requirement in the new rule that covered entities, including health care providers and payers, be vigilant in looking for possible discrimination ▶ Risk mitigation steps targeting algorithmic bias that organizations must adopt as a part of a compliance program to avoid HHS enforcement Don’t miss out—register now: https://bit.ly/3wqR6Vw #ArtificialIntelligence #Algorithms #HealthCare
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American Board of Quality Assurance and Utilization Review Physicians® (ABQAURP)
New Online Course! CMS-HCC Risk Adjustment Model Version 28: Be Proactive What can you do to mitigate the impact of the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Codes (CMS-HCC) risk adjustment model Version 28? This online course reveals a proactive approach to mitigating the potential negative impact of Version 28 through proper identification of diseases and conditions coupled with addressing, assessing, and properly treating those diseases. It follows clinical and coding guidelines to address diagnoses and conditions for which the risk adjustment factor has been eliminated or reduced. It does this through a disciplined approach of reviewing co-morbid conditions, alternative diagnoses, and improved specificity. In all cases, the primary purpose is to treat the patient's diagnoses and conditions to improve the quality of life for the patient. Learn more about this course at https://lnkd.in/eVmECiEs. #CMS #hcquality #patientcare
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Wakely Value Based Payment Practice
The era of splashing the market with flashy supplemental benefits is in the rearview as CMS, MA plans, and downstream risk-bearing providers are collectively challenged to "do more with less." CMS' heightened data collection requirements will slowly but surely drive an emphasis on cost-saving, impact-driving supplemental benefits rather than those that simply attract members. This shift could serve risk-bearing providers well, as overly generous and unmanageable supplemental benefit allowances have often driven MLR headwinds in recent years.
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HealthAxis Group
Navigating the complexities of prior authorization can be daunting for health plans. But what if there was a way to streamline these processes, cut costs, and enhance member experiences simultaneously? In her latest blog, Lisa Hebert, our Senior Vice President of Product Strategy and Management, delves into the transformative potential of integrating prior authorization within Electronic Health Record (EHR) workflows. Discover how leveraging open-source solutions and automating clinical data retrieval can lead to real-time authorization determinations. 🔍 Key insights include: ✅ Efficiency & Cost Savings: Reduce administrative overhead and enhance staff productivity. ✅ Improved Member Experience: Ensure faster approvals and a smoother experience. ✅ Effective Data Integration: Seamlessly integrate information between systems. ✅ Choosing the Right Partner: Essential qualities for successful implementation. Health plans, this is a must-read to stay ahead of the curve and drive operational excellence. Click the link below to read the full blog and learn how HealthAxis can help you transform your prior authorization processes. 📈 Read the full blog here 👉 https://ow.ly/xRXY50STZ6A #HealthAxis #HealthcareInnovation #EHRWorkflows #PriorAuthorization #HealthcareTechnology #OperationalExcellence #HealthPlans #Automation #Efficiency #MemberExperience #PatientExperience #ClaimsProcessing #ClaimsManagement #HealthcarePayers #HealthcareAdministration #HealthcareManagement #HealthInsurance
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DMG Productions
🎥 SPOTLIGHT CLIP: Healthcare providers face several challenges today, including denials or delays of #patient claims. ⚕️👩⚕️ Recent statistics show that nearly 15% of all claims submitted to private payers for reimbursement are initially denied. Nearly 50% of those denials are ultimately overturned, but not before 𝐜𝐨𝐬𝐭𝐥𝐲 𝐫𝐨𝐮𝐧𝐝𝐬 𝐨𝐟 𝐚𝐩𝐩𝐞𝐚𝐥𝐬 with the #insurance companies. 💵 💵 💵 Now, developments in #AI and #blockchain #technology are 𝐫𝐞𝐯𝐨𝐥𝐮𝐭𝐢𝐨𝐧𝐢𝐳𝐢𝐧𝐠 𝐭𝐡𝐞 𝐟𝐮𝐭𝐮𝐫𝐞 𝐨𝐟 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐩𝐚𝐲𝐦𝐞𝐧𝐭𝐬, enabling a transparent and secure process for both hospitals and payers. 💲 💲 We’re spotlighting Veuu, a #fintech ecosystem for the #healthcare industry that uses a suite of AI tools 𝐭𝐨 𝐜𝐨𝐝𝐞 𝐜𝐥𝐚𝐢𝐦𝐬 𝐚𝐧𝐝 𝐝𝐞𝐭𝐞𝐫𝐦𝐢𝐧𝐞 𝐭𝐡𝐞 𝐟𝐢𝐧𝐚𝐧𝐜𝐢𝐚𝐥 𝐫𝐢𝐬𝐤 𝐨𝐟 𝐝𝐞𝐧𝐢𝐚𝐥/𝐚𝐝𝐣𝐮𝐬𝐭𝐦𝐞𝐧𝐭 𝐢𝐧 𝐣𝐮𝐬𝐭 𝐬𝐞𝐜𝐨𝐧𝐝𝐬, providing claim adjudication the day a patient is discharged from the hospital. 🏥 “𝙍𝙚𝙞𝙢𝙗𝙪𝙧𝙨𝙚𝙢𝙚𝙣𝙩𝙨 𝙛𝙧𝙤𝙢 𝙞𝙣𝙨𝙪𝙧𝙖𝙣𝙘𝙚 𝙘𝙤𝙢𝙥𝙖𝙣𝙞𝙚𝙨 𝙖𝙧𝙚 𝙩𝙝𝙚 𝙡𝙞𝙛𝙚𝙗𝙡𝙤𝙤𝙙 𝙤𝙛 𝙥𝙧𝙤𝙫𝙞𝙙𝙚𝙧𝙨 𝙩𝙤𝙙𝙖𝙮. 𝙏𝙤 𝙜𝙚𝙩 𝙩𝙤 𝙩𝙝𝙚 𝙧𝙤𝙤𝙩 𝙤𝙛 𝙩𝙝𝙚 𝙥𝙧𝙤𝙗𝙡𝙚𝙢, 𝙩𝙝𝙚𝙧𝙚’𝙨 𝙣𝙤 𝙩𝙧𝙖𝙣𝙨𝙥𝙖𝙧𝙚𝙣𝙘𝙮. 𝙋𝙧𝙤𝙫𝙞𝙙𝙚𝙧𝙨 𝙛𝙤𝙪𝙣𝙙 𝙩𝙝𝙖𝙩 𝙥𝙖𝙮𝙚𝙧𝙨 𝙙𝙤𝙣’𝙩 𝙬𝙖𝙣𝙩 𝙩𝙤 𝙥𝙖𝙮 𝙘𝙡𝙖𝙞𝙢𝙨. 𝙋𝙖𝙮𝙚𝙧𝙨 𝙨𝙖𝙮 𝙩𝙝𝙖𝙩’𝙨 𝙖𝙗𝙨𝙤𝙡𝙪𝙩𝙚𝙡𝙮 𝙣𝙤𝙩 𝙩𝙝𝙚 𝙘𝙖𝙨𝙚 - 𝙩𝙝𝙚𝙮 𝙟𝙪𝙨𝙩 𝙘𝙖𝙣’𝙩 𝙥𝙖𝙮 𝙘𝙡𝙖𝙞𝙢𝙨 𝙩𝙝𝙖𝙩 𝙖𝙧𝙚 𝙬𝙧𝙤𝙣𝙜.” Watch short snippets from our recent segment with Veuu CEO and Chief AI Architect Terence Mills; Veuu COO Jane Nemcova; Huntington National Bank CFO Zachary Wasserman, CFA; and Senior Managing Director of Corporate Healthcare Banking at HNB, Daniel R. Storer. #coding #software #ArtificialIntelligence #automation #innovation #tech 🎬 𝗗𝗠𝗚 𝗣𝗿𝗼𝗱𝘂𝗰𝘁𝗶𝗼𝗻𝘀
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Certifi, Inc
CMS recently finalized rules aiming to improve healthcare data exchange and streamline prior authorization processes. The rules apply to various payer types, including #Medicare Advantage, #Medicaid, and CHIP programs. Payers need to implement several new APIs to facilitate data sharing with patients, providers, and other payers. Key Requirements: - API Implementation: Payers must implement various APIs for data exchange, including: - Patient Access API: Allows patients to access their claims and clinical data through health apps. - Provider Access API: Allows providers to access patient claims and some clinical data. - Payer-to-Payer API: Facilitates data exchange with other payers for new enrollments and concurrent coverage. - Prior Authorization API: Enables electronic submission and decision-making for prior authorization requests. - Prior Authorization Deadlines: Respond to standard requests within 7 days and expedited requests within 72 hours. - Public Reporting: Share data on prior authorization approvals, denials, and appeals annually. Benefits for Payers: - Improved care coordination and management through better access to patient data. - Reduced administrative burden with streamlined data exchange and automated tasks. - Enhanced fraud detection and prevention with real-time data access and improved analysis. - Streamlined prior authorization processes with faster submissions and fewer denials. - Increased member satisfaction and retention through improved care and easier access to information. Challenges for Payers: - Technical challenges: Integration complexity, data standardization, security concerns, and limited resources. - Operational challenges: Workflow disruptions, data quality management, interoperability with non-compliant providers. - Financial challenges: Implementation and maintenance costs, potential revenue impacts. - Regulatory and legal challenges: Complex regulations, compliance requirements, and potential legal risks. - Additional challenges: Lack of industry-wide standards, limited provider readiness, and potential stakeholder resistance. Overall, the new CMS rules present both opportunities and challenges for payers. Implementing these requirements will require careful planning, investment, and collaboration with various stakeholders to ensure successful adoption and achieve the intended benefits. Learn more: https://hubs.ly/Q02lNxbn0
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Actuvi
Access to care in rural communities continues to shrink. Utilizing a digital care platform like Actuvi can allow specialties, primary care, RHCs and FQHCs to expand their geographic constraints and increase access to care. Additionally, Actuvi allows them to deploy preventative health measures like RTM and RPM along with other digital care services. #prevenativehealthcare #healthtech #digitalcare
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ForeSee Medical, Inc
Recently, a group of specialists talked about the 2025 Medicare Advantage Final Rule on RISE Radio. Here's a quick summary of the topics covered. https://lnkd.in/gZfXn5ZT #medicalbilling #medicalcoding #riskadjustment #healthcareinnovation #healthtech #medicare #healthcaretech #aco #medicareadvantage #healthcareit #riskadjustment #valuebasedcare #healthcaredata #healthcareanalytics #clinicalinformatics #hcc #artificialintelligence #machinelearning #medicareinsurance #naturallanguageprocessing #nlp #foreseemedical #hccriskadjustmentcoding
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