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Decoding RADV Audits: A Comprehensive Guide for Health Plans in 2025 

2025-02-26 annovaadmin No comments yet

Home The landscape of Risk Adjustment Data Validation (RADV) audits is shifting rapidly. With CMS doubling the number of audits and eliminating past leniencies, health plans must be proactive, not […]

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CMS-HCC V28 Overview: What Medicare Advantage Plans Need to Know

2025-02-26 annovaadmin No comments yet

Home The Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Categories (HCC) model plays a crucial role in risk adjustment for Medicare Advantage (MA) and other health plans. CMS […]

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How to Succeed in ACO Implementation: Essential Strategies and Insights 

2025-02-26 annovaadmin No comments yet

Home Accountable Care Organizations (ACOs) are at the forefront of healthcare’s shift toward value-based care, aiming to enhance patient outcomes while effectively managing costs. To achieve these ambitious goals, ACOs […]

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Optimizing Clinical Operations in ACOs: Strategies for Value-Based Care Success 

2025-02-26 annovaadmin No comments yet

Home As the healthcare industry transitions more towards value-based care, optimizing clinical operations within Accountable Care Organizations (ACOs) has become essential for achieving sustainable success. With a focus on process […]

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