Download Slides CMS has doubled down on its commitment to reining in specialty costs by proposing another mandatory episode-based care model: Comprehensive Care for Joint Replacement Expanded, or “CJR-X.” Like the Transforming Episodic Payment Model (TEAM), CJR-X is focused on procedural episodes of care, but its global application and pinpoint focus will drastically impact…
Download Slides How Predictive Prevention Can Help CAHs Extend Care, Reduce Burnout, and Improve Value-Based Performance Rural hospitals face growing pressure from staffing shortages, chronic disease, and rising value-based care demands. This webinar explores how predictive prevention, automation, and continuous patient engagement can help Critical Access Hospitals extend care beyond their walls, reduce avoidable…
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…
For nearly all acute care hospitals in the United States, a new mandatory payment model is on the horizon. The Centers for Medicare and Medicaid Services (CMS) has proposed the Comprehensive Care for Joint Replacement Expanded (CJR-X) Model, a mandatory, nationwide, episode-based payment model for lower extremity joint replacements (LEJRs) in Medicare fee-for-service (FFS). If…
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…