Risk Adjustment & Integrity
Expert articles and analysis related to risk adjustment & integrity.
AI Summary — Last 24 Hours
Prior authorization is becoming the near-term integrity flashpoint for VBC: new commentary and OIG-focused analysis point to opaque MA and post-acute authorization rules delaying rehab placement and care transitions, creating avoidable length-of-stay, denial-management, and attribution-performance risk for ACOs and health systems under downside risk (AcademyHealth). At the same time, Pearl Health is framing ACO
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