As the Medicare Advantage market continues to evolve amid regulatory change, margin pressure, and ongoing member movement, it remains a crucial growth and performance priority for many health plans.

Apixio Inc., the data science company for healthcare, today unveiled Compliance Auditor, the first application of its kind in the marketplace and latest addition to the company's HCC Profiler solution ...

HOUSTON — Houston City College on Tuesday announced a new partnership with Tesla, Inc. The school said the partnership was formed "to strengthen Houston's workforce and expand career pathways in ...

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Forkhead Box O-1 (FOXO1) is one of the key regulatory transcription factors capable of regulating many critical cellular functions, such as promoting apoptosis and inhibiting cell cycle progression ...

Most health plans obsess over HCCs. They build entire departments around maximizing hierarchical condition categories. They invest in retrospective coding, prospective review, and audit prep. But ...

Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

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 ...