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Critical Insights You Need for Risk-Adjusted Conditions…and Quality/Care Management Opportunities with Advantmed’s New Physician Record Reviews

By Nilay Shah, President of Provider Solutions Today, Medicare Advantage (MA) plans must gain clinical insight into risk-adjusting conditions to enhance their traditional analytical platforms. The best way to do this [...]

Prospective Health Assessment Services Provide Actionable Insights into Member Health Status for Risk Adjustment and Quality

By Nilay Shah, President of Provider Solutions Why do health plans and provider groups need more information about their members’ health status? Unfortunately, medical records and claims don’t always present a [...]