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Artwork for Medicare Advantage For Health Plans

Medicare Advantage For Health Plans

Sponsored by UST HealthProof & Advantasure

Insider insights and perspectives for healthcare executives of government-sponsored health plans. We’re talking to the experts about the unique operating infrastructure necessary for profitability and improving quality of care and member experience. Topics include technology, data security, operations, care management, member engagement, risk adjustment, quality measures, start-up and growth tacti... more

PublishesMonthlyEpisodes24Founded2 years ago
Number of ListenersCategory
Government

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Artwork for Medicare Advantage For Health Plans

Latest Episodes

While prior authorization serves as vital checks and balances, ensuring clinical quality and preventing fraud, the administrative burden it imposes on providers and payers alike has led to an industry-wide reevaluation of certain codes and an increas... more

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25 days ago

As payers adopt artificial intelligence (AI) technologies in different aspects of healthcare operations, there is a need for AI governance and the careful vetting of vendor AI practices to safeguard patient welfare. more

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2 months ago

As more and more provider organizations enter into risk-sharing agreements, provider engagement programs are experiencing a surge in participation. Provider engagement programs improve the collaborative relationship between plans and providers to kee... more

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3 months ago

NLP is an AI technology that is being used in healthcare IT for clinical documentation and medical coding. For medical coding, the program identifies diagnoses codes for HCC risk adjustable categories and flags it for a medical coder to review. more

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4 months ago

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Reviews

5.0 out of 5 stars from 12 ratings
  • Good source of information

    Highly recommend for anyone working in the healthcare ecosystem, especially the payer sector.

    Apple Podcasts
    5
    K. S. Wilson
    United States8 months ago

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How many episodes of Medicare Advantage For Health Plans are there?

Medicare Advantage For Health Plans launched 2 years ago and published 24 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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