Download Slides In this 2026 measurement year, CMS’s sociodemographic status (SDS) risk adjustment is changing how medication adherence is measured, who you need to focus on, and why it matters more than ever. One in eight Medicare beneficiaries qualifies through disability rather than age, and this population underperforms across all three adherence measures by…
Download Slides In the FY 2027 Inpatient Prospective Payment System (IPPS) and Long-Term Care Prospective Payment System (LTCH) Proposed Rule, CMS introduced CJR Expanded (CJR-X): a proposed nationwide, mandatory bundle payment model that would place every eligible acute care hospital at financial risk for 90-day lower extremity joint replacement (LEJR) episodes — with no…
Download Slides TXAACOs 2026 brought together some of the nation’s leading minds in accountable care, healthcare innovation, population health, and value-based care. While attendees gained valuable insights from the conference sessions, many of the most important conversations happened between presentations, over dinner, in networking events, and in discussions among industry leaders throughout the week….
Download Slides Optimizing performance of value-based clinicians and addressing gaps in chronic care pathways are two major obstacles to helping patients achieve the clinical goals that improve outcomes and reduce utilization costs. Using an AI native-services solutions across the conditions that drive spend in a value-based organization, Altitude partners are effectively improving clinician performance…
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…
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…
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…
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…
Download Slides The CMS GUIDE Model is bringing unprecedented visibility to the costs and unmet needs of persons living with dementia — and for ACOs, it’s revealing both a significant spend exposure and a significant strategic opportunity. The organizations moving fastest are recognizing what traditional care management models have overlooked: dementia is the one…
Download Slides This webinar is for ACO and other healthcare leaders who have a growing concern that unscrupulous actors may be taking advantage of them and their patients. You will learn how HarmonyCares and their partner, HDAI, were able to identify and address serious issues in woundcare claims submitted by a small group of…