Healthcare Finance Research & Insights
What CMS Proposed for 2027 Risk Adjustment and What It Means for Payers
In January, the Advance Notice of Methodological Changes for CY 2027 for MA Capitation Rates and Part C and Part D Payment Policies was released by CMS. In response, payers argued the proposal could lead to higher out-of-pocket costs and reduced benefits for beneficiaries.
Read MoreThree Coding Mistakes That Kill Revenue for Primary Care Practices and Payers
These three coding mistakes cost primary care practices and payers more than they realize. Here’s what to watch for.
Read More2026 Routine Security Checklist
Set your 2026 calendar to keep up with best practices in technology risk management throughout the new year!
Read MoreFRG Presents: Enhanced Bookmarking in AccuReports
FRG’s recent update to the Bookmarks tool in AccuReports, its proprietary software, enables users to save relevant reports.
Read MoreDrilling Down with AccuReports
View AccuReports training videos that explain platform features, reporting tools, and performance insights across value-based care programs.
Read MoreNavigating the Mandatory Transition to CMS-HCC Model V28
The V24 to V28 shift began in 2023. While not new for many risk groups, the completed 2026 rollout will likely lower risk adjusted payments.
Read MoreSurviving V28: What to Do When Members’ Medical Expenses Exceed the Capitated Payments of CMS Models
Revenue misalignment creates risk. FRG’s Revenue and Audit Monitoring Program (RAMP) helps manage it under global capitation.
Read More10 Facts about HEDIS Reporting and Measurements
A clear breakdown of how HEDIS reporting works, why it matters to health plans, and how it supports quality, prevention, and cost control.
Read MoreUpcoming CMS Deadline: Final Notice for 2026 Risk Adjustment Data Submission
It’s time again for Medicare Advantage, PACE, Duals, and CMS experimental plans to submit risk adjustment data for risk scoring consideration and potential additional monies in upcoming payment years.
Read More2026 Security & Compliance Quarterly Checklist
Bookmark this quarterly checklist FRG’s experts follow and set your calendar for 2026 to keep up with best practices in security and compliance.
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