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…
We’re spending billions trying to reduce length of stay. So why isn’t it improving? A small fraction of patients—just 2% of admissions—account for 15% of prolonged hospital days, costing more than $2 billion annually, or $2,093 per excess day, according to the Vizient Clinical Data Base. At the same time, hospital occupancy is projected to exceed the 85%…
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…