Experts at Altegra Health are developing new ways to meet the needs of the healthcare industry. Read their insights here.
State and county workers usually determine Medicaid eligibility correctly and on time, but sometimes mistakes happen. Applications can be incorrectly denied because Medicaid eligibility policy is complex and constantly changing, state eligibility systems aren’t always [...]
Five-Step Formula For Your Risk Adjustment Strategy Health plans and providers have an opportunity to enhance risk adjustment strategies. Consider for a moment your organization’s approach. Have you set internal goals and objectives? Are you [...]
The first year of Commercial risk adjustment is coming to a close but health plans are just taking off with less than six months to prepare for the Affordable Care Act (ACA) risk adjustment data [...]
When health plans take on the not-so-easy task of submitting quality measures to NCQA, CMS, state entities and more, the arduous undertaking is comprised of a complex process – including assumptions, decisions, and equations that [...]
On June 13, the Medicare Payment Advisory Commission (MedPAC) released its annual June report to Congress. MedPAC is an independent congressional agency established by federal legislation to advise Congress on issues affecting the Medicare program. [...]
According to late Middle English sources, the word "engage" originally meant 'to pledge something,' and later. 'pledge oneself (to do something).' At Altegra Health, the word "engage" has several important important meanings: we engage technology, [...]