When clinics select an AI partner – especially for AI Voice Agents – the expectation is that the tool gets the job done. Without integration into your systems and workflows, that rarely happens. Clinics end up with an incomplete solution that never adds the expected value and fails at the exact use cases AI should…
Download Slides In this webinar, learn how to: Identify the most significant compliance and financial risks associated with using AI in coding within value-based care models Explain how AI-driven coding practices can unintentionally lead to unsupported diagnoses, audit exposure, and inaccurate risk adjustment Recognize red flags that indicate AI is influencing coding and documentation…
Download Slides The APP submission window is closed, and it is time for a debrief. If you’re like most, some aspects went well, but there are definitely opportunities for improvement. It’s likely that at least one of your measures suffered from a gap in documentation rather than a gap in care, and that others…
The healthcare industry generates an astounding amount of data. The total amount of global healthcare information surpassed 4,200 exabytes in 2025 and is growing at an annual rate of 63%. However, about 97% of hospital data goes unused, meaning that organizations are missing out on valuable insights and opportunities that could lead to better operations,…
Download Slides The 2027 Medicare Advantage changes are already reshaping risk adjustment strategy. Subbu Ramalingam and Michael Lesnik break down what these changes mean in practice — why the documentation burden is increasing, which HCC coding approaches create risk, and where to focus now before the rules tighten further. This session covers the four…
The Center for Medicare and Medicaid Innovation (CMMI) has come under increased political scrutiny for its demonstration programs’ frequent failure to produce savings for Medicare and Medicaid. These failures are surprising given that many demonstration projects are designed around care interventions that have evidence of achieving savings and reducing avoidable health care use. It’s important…
Download Slides In this session, David Klebonis, President and COO-Palm Beach ACO, shares how they approached that problem: what broke down at scale, what they tried, and what changed when they moved from manual workflows to AI-driven execution. Zynix AI co-founder and MD Jay Chowdappa walks through the platform infrastructure behind those results and what it takes…
Download Slides AI and digital health tools are rapidly expanding across healthcare, but many organizations still struggle to use them in a way that improves care without losing the human connection. Leaders from Qubika, an AI and data infrastructure firm specializing in healthcare, and Avery Telehealth, a leading population health digital platform, will focus…
V28 is no longer a transition issue. It is the live operating environment for Medicare Advantage risk adjustment in 2026. CMS completed the three-year phase-in of the 2024 CMS-HCC model for CY 2026, meaning plans and providers are now operating under the full model rather than a blended version. That makes mid-year the right moment…
The accountable care organization (ACO) model is shaping up to be the base that future value-based care models will be built on, with more than 50% of Medicare fee-for-service (FFS) beneficiaries being aligned with an ACO now. While there’s a lot of room for improvement in the ACO model, the Centers for Medicare and Medicaid…
In many accountable care organizations (ACOs), frontline physicians are under strong pressure to schedule Medicare annual wellness visits (AWVs) for every eligible patient. On paper, AWVs are framed as a cornerstone of value‑based care. In reality, for patients who already receive regular, well‑designed chronic care and follow‑up visits, a separate AWV can easily become cost‑ineffective. It adds encounters and expense without…
Download Slides The Long-term Enhanced ACO Design (LEAD) Model is the CMS Innovation Center’s newest Accountable Care Organization (ACO) focused model, set to launch following the conclusion of ACO REACH at the end of 2026. LEAD builds upon the CMS Innovation Center’s earlier accountable care work and utilizes improved benchmarking to appeal to a…