Healthcare Finance Research & Insights
What is Dual Eligibility?
Learn what makes someone considered dual eligible, why the population is growing, and what experts expect for this high-risk population.
Read MoreWhat Are Medicaid Provider Taxes?
Learn how Medicaid provider taxes help states fund Medicaid, generate federal matching funds, and affect provider reimbursement.
Read MoreDo Your Risk-based Contracts Get a Clean Bill of Health?
Just like members need checkups, risk-based contracts need routine monitoring because unhealthy contracts can lose revenue due to gaps in care, documentation errors, and more.
Read MoreHow Can Healthcare Organizations Prioritize and Close Care Gaps?
Explore how healthcare organizations use reliable data, patient insights and current quality measures to identify and prioritize care gaps.
Read MoreWhat Is a Medical Loss Ratio, and How Can Healthcare Organizations Manage It?
Learn what a medical loss ratio target means, how it defines a medical cost budget, and how healthcare organizations can manage MLR performance.
Read MoreFinancial Recovery Group Earns Fourth HITRUST r2 Certification
Financial Recovery Group earns its fourth consecutive HITRUST r2 Certification for AccuReports and Audit Tracker, reinforcing its commitment to data security.
Read MoreTop 6 Value-Based Incentive Reporting Gaps
Fragmented data and inconsistent measures complicate value-based incentive tracking. Discover six reporting gaps and how FRG unifies claims, clinical, and quality data.
Read MoreWhat to Look for in Value-Based Care Reporting
Healthcare organizations achieve financial upside from value-based arrangements when reporting brings financial, quality, and operational data into one place, ties contract performance directly to the groups, providers, and members driving it, and empowers prospective action.
Read MoreHow Can VBC Organizations Protect Their Bottom Lines from AI Upcoding?
Payers and providers can protect their bottom lines from AI upcoding with claim-level transparency to create a continuous feedback loop surrounding risk adjustment data so plans can maintain complete reporting and oversight.
Read MoreWhat Role Does Population Health Play in Value-Based Care?
Explore the role of population health in value-based care and how better data supports risk adjustment, documentation and financial performance.
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