Advantmed

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News, Events & Blogs

Healthcare never stands still and neither do we. Read the latest news and developments from Advantmed and join us at our upcoming events.
April 2, 2025

Advantmed, LLC Welcomes Risk Adjustment and Quality Expert Scott Filiault to its Board of Directors

FOR IMMEDIATE RELEASE IRVINE, Ca, April 2, 2025 – Advantmed, LLC, an industry leader in risk adjustment and quality services for health...
August 10, 2022

Advantmed’s ELEVATE^ Quality Insights ®️ Software Fully Certified for the HEDIS ®️ MY 2022 Season

Irvine, CA – August 10, 2022 – Advantmed, LLC, a healthcare solutions company focused on integrated quality improvement and risk adjustment...
February 14, 2022

Advantmed Physician Record Reviews: Medicare Advantage Plans Gain Clinical Insights for Risk-Adjusted Conditions and Quality/Care Management Opportunities, Impact HCC Coding & CMS Reimbursement

Santa Ana, CA — February 14, 2018 — Advantmed, LLC, an integrated risk-adjustment optimization and quality improvement company, today...
February 23, 2022

Advantmed Advances Payer Understanding and Preparation for 2019 Medicare Advantage and Part D Rate Announcement and Call Letter, Issues Fact Sheet

Santa Ana, CA — April 12, 2018 — Responding to the recent release of the 2019 Medicare Advantage and Part D Rate Announcement and Call...
August 28-30, 2023

RISE West in Dallas

Join us in Dallas for RISE West and learn more about our risk adjustment, quality, and in-home assessment...
June 20-23, 2023

RISE Qualipalooza in Miami

Join us in Miami for the RISE Qualipalooza Leadership Summit and learn how to streamline the retrieval process to better support your quality...
May 08-10, 2023

RISE Risk Adjustment Forum in Chicago

Join us in Chicago at the RISE Risk Adjustment Forum and stop by our booth to learn more about our coding, retrieval, and analytics...
May 27, 2026

The Power of One Record: Maximizing Data to Meet New Demands

As healthcare organizations continue adapting to evolving regulatory requirements, increased audit activity, and shifting quality measures, the...
April 8, 2026

CMS Final Notice 2027: What Plans Need to Know

On April 6, CMS released the Final Notice for Contract Year 2027 Medicare Advantage and Part D payment policies, outlining updates to rates,...
April 2, 2026

V28 Fully Realized: What Health Plans Learned and What Comes Next

The first full year of V28 is behind us What did we actually learn When CMS introduced V28, many organizations approached it as a model...
January 27, 2026

2027 CMS Advance Notice: Risk Adjustment and Quality Impacts for Medicare Advantage Plans

On January 26, 2026, the Centers for Medicare & Medicaid Services (CMS) released the 2027 Advanced Notice for Medicare Advantage (MA) plans,...
July 15, 2025

Why Continuity of Care After Health Assessments is Critical for Health Plan Success

Health assessments are often the first meaningful connection between health plans and their members They provide a unique opportunity to identify...
June 26, 2025

RADV Audits: What Medicare Advantage Plans Need to Know

Risk Adjustment Data Validation (RADV) audits are now an annual reality for every Medicare Advantage (MA) contract In what’s widely seen as the...
April 10, 2025

2026 CMS Final Notice: Everything Plans Need to Know

On April 7, the Centers for Medicare & Medicaid Services (CMS) released the final 2026 Medicare Advantage (MA) Capitation Rates and Part C and...
January 23, 2025

2026 CMS Advance Notice: Impacts on Medicare Advantage

On January 10, CMS released the 2026 Advance Notice for Medicare Advantage (MA) plans, detailing proposed changes to MA capitation rates and Part C...
January 8, 2025

The Value of In-Home Health Assessments: Insights from Nurse Practitioners

In-home health assessments offer a personalized approach to care, helping members address their physical, mental, and social health concerns in a...
October 21, 2024

ACA Risk Adjustment: 3 Keys to Open Enrollment Success

As we approach the upcoming Affordable Care Act (ACA) Open Enrollment period starting November 1, it's crucial for health plans to prepare for what...

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