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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

Prospective, Concurrent, and Retrospective Ri...

Risk adjustment is often discussed as a Medicare Advantage problem. In actuality, it affects every organization whose reimbursement, shared savings, or quality performance depends on accurately reflecting the complexity of their patient population.

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prospective concurrent retrospective risk adjustment 2026 guide MA plans ACOs
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Healthcare breach
January 29, 2026

Hospitals Missed Change Attack Relief...

Revenue cycle leaders questioning the value of outsourced medical billing services should consider the case of recent re...

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Market-based logistics efficiency
August 03, 2021

Rethinking Outsourced Medical Coding ...

The pandemic “changed everything”—and “everything” should include how you answer the question, “should we outsource medi...

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