The Alliance of Community Health Plans is calling out risk adjustment scores by larger insurers in Medicare Advantage plans. ACHP, an organization that advocates for smaller health plans, said the ...
WASHINGTON, Sept. 3, 2025 /PRNewswire/ -- New analysis by the Alliance of Community Health Plans (ACHP) shows that gaming within the Medicare Advantage (MA) program by large national carriers persists ...
The Alliance of Community Health Plans (ACHP) is making the case that risk adjustment in Medicare Advantage (MA) needs a significant overhaul. The organization, which represents dozens of ...
New data analysis shows stark variation in risk adjustment from abusive industry practices WASHINGTON, Sept. 3, 2025 /PRNewswire/ -- New analysis by the Alliance of Community Health Plans (ACHP) shows ...
This story was originally published on Healthcare Dive. To receive daily news and insights, subscribe to our free daily Healthcare Dive newsletter. Major insurers are gaming Medicare Advantage’s risk ...
Your members are sicker than your risk scores reflect. Not because diagnoses don't exist—they're buried under unstructured data across fragmented systems. Every missed Hierarchical Condition Category ...
Powered by Neuro-Symbolic AI, It Delivers a Quantum Leap in Speed, Value, and Accuracy for Health Plans & Health Systems LOUISVILLE, Ky.--(BUSINESS W ...
Background: Determining optimal timing for intensifying the frequency of physician encounters for type 2 diabetes mellitus (T2DM) requires trade-offs between timely care and clinician burden. We aimed ...
As the global job market shifts under the weight of artificial intelligence (AI), digital transformation, and evolving workplace demands, bmobile’s Future Leaders Internship Programme (FLIP) is ...
DEL NORTE COUNTY, Calif. — In March 1972, Kurt Stremberg’s parents gave him a predawn ride from their house in northwest California to his friend’s home in the tiny town of Klamath, about 20 miles ...
The Las Vegas Raiders weathered the storm in Week 1 of the 2025 NFL season against the New England Patriots. This was widely considered a good win, as the Patriots are thought to be one of the most ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results
Feedback