Resources.

Health systems

• Revenue cycle analytics: the questions to ask about denials, A/R, and cash
  A short list of questions that turn revenue cycle reports into decisions.

Commercial insurers and state and federal payers

• Medicaid payment integrity: patterns analytics can surface
  What claims analytics can flag for review, and why a flag is the start of a question.
• HEDIS gap closure: why timing matters as much as the measure
  Quality leaders at Medicaid plans know the measures. The harder problem is knowing early enough, and for the right members, to act.

All audiences

• The proposed 2027 Medicare physician cut: how the calculation works and what to check
  Based on CMS's proposed rule, which is not final. Figures here will change if the final rule differs.
• AI in healthcare analytics
  What it does here, and what it does not.

All articles are general information. Dates and updates are shown in each article's page data.