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Surviving 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.
10 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.
Upcoming 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.
2026 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.