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Patient Intelligence: Applying Advanced Analytics to Patient Personas

Value based Contracting Understanding the perspectives of Payers, Providers and Life Sciences Compa

All Systems Go Aligning Payment Integrity Efforts For Greater Results

Tactical Applications

SCIO's Indexing Methodology and CBSA based Patient Persona

Accurate Coding & Revenue Accuracy

Prospectively Managing Population Risk

Examples of Persona Types by CBSA

Examples of Patient Personas

360° View of Accurately Manage Risk, Revenue and Quality

Patient Personas Drive a Broad Analytic Foundation

Industry Trends and forecasts

STAR Ratings

Updates to CMS Reports

Provider Behavior Modification

Impact of complete documentation & coding on revenue

Prepayment Medical Records Review

RAPS & EDPS data blend by data source and site of service

Optimizing post–payment audit programs

Proposed model blend

Longitudinal Data Mining

Guidance from CMS on methodology blending

The State of Payment Integrity Solutions

Changes to CMS HCC Risk Adjustment Model for PY‘19