By Doron Schneider, MD, MBA, FACP, Vice President, Clinical Product and Provider Solutions, Tandigm Health February 2025 - Reduced revenue associated with Version 28 (V28) for risk adjustment,1 increased quality cut points to achieve Medicare Advantage MA Star ratings,2 physician fee schedule cuts,3 burnout,4 medical inflation,5 and an increasingly ill population.6   What do all of …Read More »

By Dr. Harry Saag, former National Medical Director, Walgreens January 2025 - As we turned the page on 2024, there’s another 24 that we continue to turn the page on, version 24 (v24) of the Medicare risk adjustment model. 2025 represents year 2 of a 3year transition where increasing weight is placed on the new …Read More »

By Tom Nix, Partner, Agentic Initiatives Group December 2024 - As a lifelong NFL fan and honorary member of the Bills Mafia, I've witnessed firsthand how sports betting has transformed how we consume sports. However, as a healthcare technology executive who has spent years working with major health plans on mental health initiatives, I've also …Read More »

By Craig Hauben, President & CEO, MediSpend November 2024 - The rise of Private Equity (PE) capital as a prime funding source for private healthcare companies has put a lot of pressure on these companies to deliver financial results quickly.  PE funds have limited lifespans.  Most are chartered to be around for 10 years with …Read More »

By Sherri H. Johnson, SVP, Business Development, American TelePhysicians October 2024 - In-home caregivers for dementia patients often live in a world of constant stress, exhaustion, and emotional turmoil. I’ve been thinking about this a lot lately because of my own family’s experience. My brother-in-law has Lewy Body Dementia, and my sister has been his …Read More »