Bloom Value
Thought Leaderships
Guardrails for AI in
Medicare Risk
Adjustment:
Navigating
Innovation Without
Losing Control
AI promises to transform Medicare Risk
Adjustment through advanced ML and
NLP, but without proper safeguards, it
risks undermining accuracy and trust.
This whitepaper explores how proven
governance practices…
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Medicare Advantage
Under Scrutiny - What
It Means for You
Medicare Advantage plans are facing
unprecedented audit scrutiny, coding
inflation, and growing pressure on
providers - all demanding a new
approach to compliance. This
infographic breaks down what’s driving…
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Redefining Value-
Based Healthcare:
Integrating Evidence-
Driven Risk
Adjustment Using AI
Value-based healthcare (VBHC) shifts
focus from volume to outcomes,
with risk assessment at its core.
Yet, current models often incentivize
labeling patients as high-risk without
ensuring better care
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Healthcare Risk
Webinar: The
Profitability Challenge
– Can AI/ML help?
This webinar was hosted by the
America's Physician Groups focused on
the challenges of the transition
from HCC v24 to v28 and opportunities
of applying AI/ML to address these
challenges.
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