Risk adjustment is used to appropriately compensate health plans for the costs associated with taking on members with chronic health conditions. See more.

Risk adjustment programs under the Affordable Care Act, Medicare, Medicaid, and Medicare Advantage evaluate patients’ risk scores based on a combination of condition and demographics data. Using claims,…

In this white paper, we will explore the challenges and progress of EHR interoperability and how to leverage AI capabilities to improve operational, clinical, and financial outcomes.

MAOs have six additional months to ensure a complete and accurate data submission. See how to optimize your additional PY2020 Reconciliation Run.

Major submission deadlines for Medicare Advantage (MA) and Affordable Care Act (ACA) risk adjustment programs are in the rearview mirror. We’re now entering a critical point in the…

Risk adjustment is a complex but vital competency accountable care organizations (ACOs) must develop in order to succeed in CMS’s Medicare Shared Savings Program (MSSP). Without capturing a…

As patients, we’ve all felt the pain of trying to transfer medical records. Between the HIPAA release forms, wait times, forgotten requests, and antiquated transfer methods (faxes and…

Discover how Datavant’s AI solutions help healthcare organizations achieve the Triple Aim of improving patient experience, enhancing population health, and reducing costs in value-based care.