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ACOs can use analytics to improve risk adjustment performance overall. Through monitoring of their population, an ACO will know how their current performance compares to their benchmark.

With the recent changes to the existing risk adjustment model and the higher percentage of encounter data that will make up risk scores, health plans are now focused more than ever before on ensuring they’re prepared to secure the same RAF. To assist in your preparations, our Vice President of Client Services gives you the insight on the top priorities you should consider before making important vendor decisions.

On March 9, senior healthcare officials announced the release of two of the most extensive rulings ever passed around the way electronic health information is exchanged: the CMS Interoperability and Patient Access Final Rule and the ONC Cures Act Final Rule. The separate but interrelated rulings represent a huge step forward for interoperability and increased patient access, giving members unprecedented control over their health data.

In a bid to contain the novel coronavirus (COVID-19), President Trump declared a national emergency on March 13, unlocking $50 billion in aid and expanding Medicare telehealth benefits. Aimed at providing Medicare beneficiaries greater access to healthcare services, the move will help members receive safe, continual care while limiting exposure and spread of the virus.