In this episode, we are joined by Andrew Borgschulte, Principal Product Marketing Manager at Surescripts, to discuss CMS star ratings and HEDIS scores and why these measures are so meaningful. Tune in ...

As health plans attempt to measure the acuity of new patients through the Affordable Care Act’s healthcare marketplace exchange, hospital audit teams will see a huge influx of commercial risk ...

Clover Health’s AI platform, Counterpart Assistant, already connects to a majority of the data networks named in yesterday’s pledge – eliminating the “digital walls,” delivering proven outcomes in ...

While plans are still grappling with last year’s significant changes to The Center for Medicare and Medicaid Services (CMS) 2025 Star Ratings, more change is on the way. The new administration and Dr.

Many quality professionals are feeling anxious about the transition to digital quality measures (dQMs). The old way of doing things is changing, as the Centers for Medicare & Medicaid Services (CMS) ...

Expertise from Forbes Councils members, operated under license. Opinions expressed are those of the author. In healthcare, quality reporting is often treated like a tax: Inevitable, complex and ...

WILMINGTON, Del., July 31, 2025 (GLOBE NEWSWIRE) -- Clover Health Investments, Corp. (Nasdaq: CLOV) (“Clover Health”), a physician enablement company bringing access to great healthcare to everyone on ...