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Delivering 242% ROI for a National Medicare Advantage Plan by Improving Access to Care
ReferWell demonstrates the effectiveness of a targeted access to care strategy, showcasing not only significant financial returns, but also successfully getting members to go to their PCP. All validated by claims. The health plan faced a significant challenge with a...
Stuck in 3-Star Purgatory? How Annual Programming Can Propel Your Health Plan to 4 and 5 Stars
For many health plans, breaking free from a 3-Star rating can feel like an insurmountable challenge. Being stuck in this ratings purgatory not only limits your access to quality bonus payments but also hampers your ability to attract new members and diminish your...
ACA Risk Adjustment Program Captures $1.5M in Net New HCCs
Learn how the ACA Risk Adjustment Program helped capture $1.5M in net new HCCs for a health plan with 93% market share.
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