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HCC Recapture: Why Risk Scores Reset Every January and How to Close the Gap
A patient has heart failure. She had it last year, she has…
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Chronic Care Management: CCM Codes, Requirements & APCM
A Medicare patient with heart failure, type 2 diabetes, and COPD sees…
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Healthcare Data Models: A Practical Guide to OMOP, FHIR, Star Schemas, and Everything In Between
Ask five people at a health plan how many members it had…
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FHIR Explained: HL7 FHIR, the FHIR API, and SMART on FHIR
Here’s a request that sounds simple and used to be miserable: give…
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TEFCA Explained: The Framework, the QHINs, and What TEFCA 2.0 Actually Changed
A patient collapses in a Phoenix emergency department. She’s from Ohio. Her…
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Prior Authorization: How It Works, How Long It Takes, and What Changed in 2026
A physician orders an MRI on a Tuesday afternoon. The patient assumes…
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Healthcare Fractional CTO (FCTO): What It Is and When Your Organization Needs One
Most technology decisions in healthcare come with a second bill attached. Pick…
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Risk Adjustment Data Validation (RADV): A 2026 Guide for Medicare Advantage Plans
For most of the last decade, a RADV audit was something a…
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Risk Adjustment Coding in 2026: The Complete Guide for Health Plans and Risk-Bearing Providers
Picture two Medicare Advantage members. Both are 72 years old. Both live…
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Medicare
Medicare coverage, Advantage plans, reimbursement, and policy explainers.
Medicare Advantage Rate Hike 2027: What Seniors Need to Know Now
Apr 16, 2026
Does Medicare Cover Ozempic? The Complete 2026 Guide
Mar 31, 2026
Medicare Secondary Payer (MSP): What U.S. Healthcare Leaders Need to Know
Feb 3, 2026
Medicare Advantage’s Meteoric Rise: What 54% Penetration Means for Healthcare Leaders in 2026
Jan 29, 2026Category
Medicaid
Medicaid policy, managed care, access, and state program insights.
![Medicaid Asset Protection Trust [MAPT] Rules, Cost & Risks](https://ushealthinsights.com/wp-content/uploads/2026/07/Medicaid-Asset-Protection-Trust-MAPT-Rules-Cost-Risks.png){kind=small}
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Value-Based Care
Payment reform, risk adjustment, outcomes, and payer-provider collaboration.
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Healthcare Transformation
Digital health, operations, technology, and system modernization.
Healthcare Data Models: A Practical Guide to OMOP, FHIR, Star Schemas, and Everything In Between
Aug 19, 2026
TEFCA Explained: The Framework, the QHINs, and What TEFCA 2.0 Actually Changed
Aug 6, 2026
EMR Integration: The Complete 2026 Guide for Healthcare Organizations
Jul 10, 2026