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Hear from thought leaders across the healthcare spectrum or earn CME credits on risk adjustment coding and value-based care courses.

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Blog

Must-read blogs with strong insights into both the health plan and provider communities.

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Education hub

Lunch-and-learn: Blood disorder cancers

Watch our webinar to learn more about ICD-10-CM coding guidelines for blood disorder cancers and how to accurately code the conditions for risk adjustment.

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Provider

Risk adjustment

Blog

How to boost your MA-PD Star scores through accurate risk adjustment

Accurate risk adjustment is foundational to ensuring that Star ratings reflect true quality, rather than differences in member health. Accuracy ensures CMS appropriately compensates plans for managing complex populations, rewarding those that deliver superior care despite higher patient acuity.

Quality

Risk adjustment

Blog

Health plans and providers join forces to navigate turbulent market conditions

Multiple headwinds have created a challenging Medicare Advantage market for both health plans and providers. These headwinds include the transition to CMS-HCC V28 for risk adjustment, heightened regulatory scrutiny, increased audit activity, reimbursement pressure, shifting star ratings and evolving expectations under new CMS leadership. Presenters at the 2025 RISE National conference suggested a unique way to address the situation: shared resources among health plans and providers to maximize compliant risk adjustment performance.

Health plan

Provider

Risk adjustment

Blog

Technology in risk adjustment: opportunities and pitfalls

One area seeing a surge in AI-driven innovation is HCC coding and documentation. A growing number of tools now aim to automate risk adjustment coding, promising increased efficiency and reduced costs. While these solutions offer potential benefits, they also present serious challenges that health plans and providers must carefully evaluate.

Risk adjustment

Value-based care

Watch our webinar on hypertensive chronic kidney disease

Education hub

Lunch-and-learn: Hypertensive chronic kidney disease

Watch our webinar to learn more about ICD-10-CM coding guidelines for hypertensive kidney disease and how to accurately code the condition for risk adjustment.

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Provider

Risk adjustment

Education hub

Lunch-and-learn: COPD

Watch our webinar to learn more about ICD-10-CM coding guidelines for COPD and how to accurately code the condition for risk adjustment.

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Provider

Risk adjustment

Education hub

Lunch-and-learn: Cardiac arrhythmias

Watch our webinar to learn more about ICD-10-CM coding guidelines for cardiac arrhythmias and how to accurately code the condition for risk adjustment.

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Provider

Risk adjustment

Blog

What’s going on with Medicare Advantage and risk adjustment?

One of the biggest challenges facing MA plans concerns changes to risk adjustment regulations. These changes in turn affect providers. Risk adjustment is complex, and most providers are not well versed on this topic. Let’s break it down and explore how the right partnerships and resources can help providers succeed in the current turbulence that’s affecting the MA ecosystem.

Risk adjustment

Education hub

Lunch-and-learn: Diabetes

Watch our webinar to learn more about ICD-10-CM coding guidelines for diabetes and how to accurately code the condition for risk adjustment.

Watch now

Provider

Risk adjustment

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