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Insights

We inform healthcare professionals of new developments in the industry, and health plans in finding the right care for their members.

From Coding to Care Planning: How AI is Bridging Risk Adjustment with Whole-Person Care

The intersection of coding and care planning has long posed challenges in healthcare management. However, recent advance...

The ‘Last Mile’ Problem in Care Management: Closing Gaps Between Insights and Action

The healthcare industry is at an inflection point, where valuable insights flourish but often fail to translate into act...

Digital Front Doors in Value-Based Care: How Tech is Driving Preventive Visits and Gap Closures

Digital Front Doors in Value-Based Care: How Tech is Driving Preventive Visits and Gap Closures In the ever-evolving la...

From Point Solutions to Platforms: Why Integrated VBC Infrastructure is Winning in 2025

In the healthcare landscape, the pursuit of value-based care (VBC) remains a top priority for many organizations. As 202...

What Sets Apart High-Performing Care Management Teams in the Medicare Advantage Space

The Medicare Advantage (MA) landscape is rapidly evolving, bringing both challenges and opportunities for care managemen...

How Payers and Providers Are Closing the Loop on Value-Based Care Metrics

The healthcare landscape continues to evolve as both payers and providers strive to enhance patient outcomes while manag...