Insights

Perspectives from the practice.

Analysis, operational guidance, and regulatory perspective on risk adjustment, quality performance, and utilization management, written by practitioners, not generalists.

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Risk Adjustment

Understanding HCC Risk Scores: What Every Provider Group Needs to Know

Hierarchical Condition Category (HCC) risk adjustment is the financial foundation of value-based care. Here's how it works, where programs fail, and what high-performing groups do differently.

• 7 min read
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Quality & HEDIS

The HEDIS Gap Closure Playbook: Moving from Measurement to Performance

Most organizations measure HEDIS well. Fewer close gaps at the rate that moves Star ratings. The difference is operational, not clinical.

• 6 min read