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 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…
Download Slides ACOs are under immense pressure to close more care gaps, hit TOC windows, and drive preventive care—yet most teams are already stretched thin. This webinar breaks down how to scale patient engagement responsibly, using automation that’s transparent, governed, and designed to support (not replace) care teams. In this session, we’ll unpack the…
Download Slides Houston Methodist Coordinated Care Medicare ACO is #1in Savings Per Patient for Academic Medical Centers. 98th percentile in Total Earned Savings = $50.4 million. 98th Percentile in Quality Nationally = 96. One of their leaders, Wajiha Waheed, Director of Finance and Operations, will join us to discuss HCC recapture tools and change…
Download Slides This webinar will demonstrate how an ACO integrated AI-powered predictive models into its advanced care planning programs to identify patients earlier and improve alignment with their care goals. Participants will explore how these tools analyze complex patient data to forecast risk, support timely advanced care planning, and optimize resource allocation. Real-world case…
Download Slides TP-ACO experts, Jay Simmons, MS-ISM, Vice President, Physician Services, Lauren Stuteville, RN, BSN, Transition of Care Coordinator, and HDAI’s Julie Woods, Manager of Customer Success, will share how an interdisciplinary team collaborated to successfully use HDAI’s HCC Recapture tool to address and optimize Hierarchical Condition Categories (HCCs) capture within their ACO population.…
Download Slides This summer, CMS will launch its eight-year Guiding an Improved Dementia Experience (GUIDE) model where Medicare patients living with dementia and their family caregivers will be able to access comprehensive care and wraparound support services for free. This new payment model supercharges organizations like Remo Health to deliver accessible, affordable, quality dementia &…
Hospice providers are seeking greater clarity when it comes to quality incentives in the Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) program. Introduced in late February, ACO REACH replaces the Global and Professional Direct Contracting (GPDC) models. CMS indicated that the program reflects its refreshed priorities for payment system demonstrations. Among…
The Center for Medicare & Medicaid Innovation (CMMI) in October announced a “strategy refresh” that would guide development of its future payment models. If executed effectively, the strategy could make a substantial difference in hospice and palliative care as well as the health care system at large, a trio of experts told Hospice News. The…