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…
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
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…
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.