Operations

<p>For Medicare Advantage audits, there must be evidence in the medical documentation to support the billing codes, says David Lareau, CEO of Medicomp Systems.</p>

<p>The Medicare Advantage Risk Adjustment Validation final rule has ramped up compliance pressure against overcoding, says Dr. Calum Yacoubian, director of healthcare strategy at IQVIA.</p> <p> </p>

Amy Bricker is barred from providing any services to CVS or its subsidiaries, and from disclosing Cigna's confidential information.

The Gen App Builder will be used in clinical workflows to unite information and improve patient outcomes.

More than half the participating employers have experienced high-cost claims of $2 to $4 million in the last few years.

<p>It's important to get data from remote patient monitoring and telemedicine in front of the physician, says Dr. Laura Purdy, a physician licensed in all 50 states, a telemedicine and digital health expert.</p> <p> </p>

More than half of all respondents felt that workplace violence incidents had increased during their tenure.

<p class="MsoNoSpacing"><span style="font-size:11pt"><span style="font-family:"Calibri",sans-serif">Better underwriting and pricing will make the market more consistent and insurable, says John Menefee of Travelers Bond and Specialty Insurance.</span></span></p>

<p class="MsoNoSpacing"><span style="font-size:11pt"><span style="font-family:"Calibri",sans-serif">The challenge is the administrative burden on providers because there are no agreed-upon standards and measures, say Inovalon SVPs Kristopher Volrath and Karly Rowe.</span></span></p>

Optum says demand for in-home care far exceeds the available supply, presenting an opening in the market.