MedeAnalytics
Power Clarity. Unleash Performance.
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Latest posts
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Becker’s Fall Payer Issues Roundtable: The Next Competitive Advantage Isn’t More Data. It’s Measurable Performance.
Healthcare payers have never had more data, analytics, technology, or AI available to them. Yet for many organizations, achieving meaningful performance improvement remains as difficult as ever. That reality is likely to be reflected throughout the conversations at Becker's Fall…
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Where Medicare Advantage revenue leaks: The disconnect between RAF, Star Ratings, and MLR
Most Medicare Advantage revenue loss doesn’t show up where finance teams expect it. It’s not a single variance in a report or a clear miss against budget. It’s smaller, compounding gaps spread across risk adjustment, quality performance, and medical cost that quietly erode…
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Rural health transformation needs more than funding. It needs measurable results.
Rural health transformation succeeds when leaders can connect investments to measurable improvements in access, quality, cost, and sustainability. Doing so requires connected data, shared performance measures, and visibility across programs and organizations. Why is measurement…
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Why Medicare Advantage member churn is a lagging indicator
By the time a Medicare Advantage member switches plans, the conditions influencing that decision may have been developing for months. Retention problems often begin well before an enrollment period as unresolved issues accumulate and gradually weaken the member’s confidence in…
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The Medicare Advantage retention gap: Turning member experience into a growth strategy
Growth in Medicare Advantage has become increasingly difficult to sustain. Acquisition costs are rising, competition is intensifying, and members are more willing than ever to switch plans in search of better value. A study found that 15.6% of Medicare Advantage members changed…