CMS announced the final rule for Medicare Plans for the HCC Risk Adjustment Model for the payment year 2024.Health Chain discusses the notable changes in HCC codes.

Boost Medicare reimbursement with accurate risk adjustment! Discover how Health Chain and Gartner’s data-driven CDI unlocks complete data & optimizes coding for maximized revenue.

Boost Payer-Provider Collaboration! This blog explores how Payers can use healthcare data analytics & CMS initiatives to leverage interoperability and deliver actionable insights to Providers. Empower population health management through data-driven collaboration!

The Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) in January 2024.

HEALTH CHAIN INSIGHTS | 10-minute read The healthcare industry throws around terms like "interoperability" a lot, but for senior leaders in risk adjustment, quality improvement and data & analytics at Health Plans, understanding its practical implications is crucial. [...]

HEALTH CHAIN INSIGHTS | 5-minute read For health plans, data is king. But the true value lies in unlocking its meaning – a challenge that can be addressed with effective interoperability. This blog dives into two key [...]

Explore how Health Data Management Platforms drive Payer Operations' digital transformation journey, focusing on Real-Time Health Systems and meeting CMS mandates efficiently

Health Data Management Platforms can help Payers digest patient data from all sources to improve STAR ratings, enhance Member care with AI and analytics, and more

Health Chain highlights roadblocks for Medicare Advantage Plans when trying to optimize risk adjustment, member engagement and care quality processes.

Medicare Health Plans can boost CMS Star ratings with personalized member experiences with clinical interventions and tailored interactions