Improper process management, a few inaccuracies, or inadequate data security can have a considerable financial impact on your Affordable Care Act (ACA) business.

We share best practices to maximize submissions for External Data Gathering Environment, a requirement under the Affordable Care Act.

This paper outlines action steps health plans should consider as part of their annual EDGE server submission cycle.

This paper addresses strategies to facilitate an organizational coding completeness initiative and “crack the code” on the tools and methods for increasing risk adjustment management’s success.

An article to introduce the broader concept of risk adjustment management.

This paper introduces the broader concept of risk management adjustment and highlights actions you can take to maintain its long-term success.

This paper explores some of the more useful types of analytics a commercial health plan can leverage to monitor the performance of its Patient Protection and Affordable Care Act block and keep a better risk score.