CMS CY2027 ADVANCE NOTICE
The CMS CY2027 Advance Notice marks the end of volume-led risk adjustment. We break down the population shifts, HCC volatility, and the new execution hierarchy CMS is signaling in our CY2027 Health Plan Playbook.
A Cautionary Tale: What the recent HHS OIG Report Really Means
The recent HHS OIG report signals a fundamental shift in Medicare Advantage risk adjustment. This article explores what the HHS OIG findings mean for Medicare Advantage risk analytics programs and why traditional coding-focused approaches may now increase audit and regulatory risk.
CMS CY2027: A Turning Point for Medicare Advantage
CMS CY2027 shifts Medicare Advantage from administrative processes to real clinical value and outcomes.
Quality Analytics Suite
Quality insights often get stuck in spreadsheets, far from the providers who can act on them. Invent Health’s Quality Analytics Suite (QAS) closes this gap by unifying risk, quality, and encounter analytics into one action-driven platform. Powered by AI and NLP, QAS turns insight into improved outcomes, stronger compliance, and measurable ROI.
The Silent RADV Killer
The worst time to discover organizational silos is when the RADV audit notice arrives. The best time to break them down is now.
Successful health plans don’t win because they have the biggest teams or flashiest tech—they win because operations, IT, compliance, risk adjustment, and leaders work as one unit, not in silos.
In this video, we explore what truly drives success in risk adjustment: empathy, consistency, and partnership. From missing charts to audit pressures, we break down why building trust—not pushing compliance—makes all the difference.
Watch till the end to understand how leading health plans turn documentation from a task into a shared mission for better patient care.
Provider Engagement in Risk Adjustment
Standing in a busy provider’s office, documentation reports in hand—every risk adjustment professional knows that moment. The real challenge in provider engagement isn’t technology or policy…it’s people.
In this video, we explore what truly drives success in risk adjustment: empathy, consistency, and partnership. From missing charts to audit pressures, we break down why building trust—not pushing compliance—makes all the difference.
Watch till the end to understand how leading health plans turn documentation from a task into a shared mission for better patient care.
The New RADV Reality
Health plans face multiple, simultaneous RADV audits—proactive resource planning and audit readiness are now essential for Medicare Advantage and ACA compliance success.
Roundtable: Ensuring RADV Success for MA Leaders
Learn proven strategies to improve documentation accuracy, diagnosis coding, and data integrity—strengthening compliance, minimizing audit risk, and protecting revenue across your organization.
Modular Analytics Platform (MAP)
Discover how Invent Health’s Modular Analytics Platform (MAP) improves risk adjustment, care coordination, and financial performance for health plans.
Roundtable: Unlocking the Power of In-home Assessments
Learn how Invent Health and Cambia Health optimize IHAs for compliance, outcomes, and sustainability. Gain strategic insights to evolve your IHA program in 2025.
