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Medicare Advantage For Health Plans

Medicare Advantage For Health Plans


Medicare Advantage For Health Plans

ratings:
Length:
24 episodes
Language:
English
Format:
Podcast

Description

Insider insights and perspectives for healthcare executives of government-sponsored health plans. We’re talking to the experts about the unique operating infrastructure necessary for profitability and improving quality of care and member experience. Topics include technology, data security, operations, care management, member engagement, risk adjustment, quality measures, start-up and growth tactics, legal and regulatory. 
Language:
English
Format:
Podcast

Episodes1 - 10 of 24 episodes

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Why Retrospective Risk Is Administratively Heavy—And What To Do About It

Retrospective risk adjustment involves several administratively heavy processes, from c...

12 minutes
May 08, 2024

Prior Authorization Trends & Opportunities

While prior authorization serves as vital checks and balances, ensuring clinical qualit...

12 minutes
Apr 01, 2024

Responsible AI For Payers

As payers adopt artificial intelligence (AI) technologies in different aspects of healt...

17 minutes
Mar 04, 2024

Unlock The Potential of Prospective Programs

As more and more provider organizations enter into risk-sharing agreements, provider en...

21 minutes
Feb 05, 2024

NLP For Coding & Compliance

NLP is an AI technology that is being used in healthcare IT for clinical documentation ...

16 minutes
Jan 04, 2024

RADV—The Future of Reimbursement Accuracy

The intention for developing RADV audits was to develop a checks and balances to ensure...

13 minutes
Dec 01, 2023

Regulatory Concerns In Enrollment Technology

There is a distinct advantage to enrollment technologies that are built specifically fo...

10 minutes
Nov 01, 2023

Bonus Episode: Star Ratings Industry Report

In this bonus episode, we welcome Stars expert, Megan Piotrowski, for an in-depth revie...

13 minutes
Oct 25, 2023

Shifting Measures In Stars—Making The Quick Pivot

In this episode, we discuss the significant changes in the weight of Star measures, wit...

16 minutes
Oct 02, 2023

The Science of Predicting Member Conditions

As stewards of healthcare, health plans are responsible for managing the care of its me...

14 minutes
Sep 05, 2023