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Technology

Generate Gap Letters in 90 Seconds with epiAnalyst

Building a product from scratch gives the freedom to identify necessary changes and build them out quickly. Our product team takes this to heart during regular updates to our in-house analytics platform, epiAnalyst, as they develop its feature set.

Risk Adjustment

How to Make the RAPS to EDS Transition Seamless

As the Centers for Medicare & Medicaid Services continues the transition from the Risk Adjustment Processing System to the Encounter Data System for calculating Medicare Advantage risk scores, payer organizations should have a plan in place to minimize system errors under the new model.

Medicare Advantage Updates

Medicare Advantage Enrollment Update – June 2019

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

Risk Adjustment

Medicare Dual Eligibles: A Significant Opportunity for Health Plans and Members Alike

According to recent data, there are 59.7M Medicare beneficiaries. Approximately 32% of those beneficiaries are under 200% of the federal poverty level and are potentially eligible for Medicaid. Although the number of enrolled dual eligible members has increased from 8.6M in 2006 to 12M in 2017, there is still a significant amount who are currently unidentified, representing a tremendous opportunity for health plans who need to implement or optimize their campaigns.

Risk Adjustment

The 2020 CMS Model: 4 Things You Should Know

In April, when CMS released the 2020 Medicare Advantage Rate Notice and Final Call Letter and confirmed the Alternative Payment Condition Count model for 2020 CY, some changes were included in their original proposals, while others came as a surprise to health plans. As you look to evaluate your technology, analytics, processes, and solutions, here are 4 things you should know.

Medicare Advantage Updates

Medicare Advantage Enrollment Update – May 2019

Learn about the top organizations, biggest enrollment changes, and year-over-year growth

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