Medicare policy debates keep returning to one question: Does Medicare Advantage (MA) deliver better quality than traditional Medicare after accounting…
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Digital quality measurement now has dates attached. In the Calendar Year 2027 Physician Fee Schedule proposed rule, the Centers for…
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Over the past few months, I have sat in on more than a dozen conversations with health plan quality teams about digital quality…
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On July 14, 2026, CMS released the Medicare Shared Savings Program (MSSP) 2027 Proposed Rule as part of the CY2027 Physician Fee Schedule…
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The pressure on healthcare payers has never been higher: do more, spend less, move faster. With nearly $496 billion spent annually on healthcare administration, tightening…
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For risk adjustment VPs, directors, and managers, the CY 2027 CMS Advance Notice signals lower MA scores, stricter diagnosis-source rules,…
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CMS recently released its Contract Year (CY) 2027 Proposed Rule – a 465-page set of proposed updates that could reshape both Medicare Advantage Star Ratings performance and…
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CMS released their Proposed Rule, and it signals meaningful change for the Medicare Advantage Star Ratings program. From methodology updates to measure removals and enrollment flexibility,…
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In home assessment vendors aren’t tech companies. Yet many still spend too much time maintaining homegrown tools instead of delivering…
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Every HEDIS® season tells the same story, but with very different endings. In our recent poll, 38% of healthcare quality professionals…
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Even as CMS Star Ratings begin to stabilize, many health plans still feel in the dark — but some plans…
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If you’re tired of stitching together data from multiple systems just to answer a single question, you’re not alone. Healthcare…
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Overwhelmed by constant change in healthcare? Empower is where the noise stops, and the answers begin.
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For more than 15 years, value-based care (VBC) has transformed healthcare by shifting the focus from volume to outcomes. Initially,…
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Risk adjustment professionals are walking a tight rope without a net when it comes to medical record reviews (MRRs) and…
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The Centers for Medicare & Medicaid Services (CMS) has finalized updates to the Medicare Advantage (Part C) and Medicare Prescription…
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Many quality professionals are feeling anxious about the transition to digital quality measures (dQMs).
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Methodological Overview Introduction This article details the data sources, cohort selection, and analytic methods that Inovalon® used in its comprehensive…
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Healthcare data is more than simply a byproduct of care – it’s the foundation for smarter decisions, better care delivery,…
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Are you ready to tackle the challenges of HEDIS® Measurement Year 2024 (MY24)? Whether you are a seasoned expert or…
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Population health analytics is transforming patient care in disease prevention, care delivery, enhancing patient engagement, and more. It’s also helping…
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Star Ratings for Medicare Advantage (MA) plans affect reimbursement and member retention, so it’s important for plan leaders to understand…
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In what can be seen as a huge win for all segments of the healthcare ecosystem, which was two years…
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