Medicare Advantage (MA) is facing one of its most significant regulatory pivots in years. At the center of this shift, there is a renewed focus on how risk adjustment is used to determine plan payments. Under the leadership of CMS…
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News & Events
Check out what’s happening with CHESS and the industry as more health care systems make the move to value. CHESS is committed to keeping our clients and colleagues up to date on the latest news in the new world of value-based health care.
Medicare Prior Authorization: Balancing Patient Care and Administrative Burden
Prior authorization often delays care and burdens workflows. A dedicated pharmacy team can reduce strain and improve satisfaction.
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Understanding the New ICD-10 Code for Diabetes in Remission
As of October 1, 2025, providers can now document diabetes in remission using a new ICD-10 code, E11.A.
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Building Stronger Patient Relationships Through Health Literacy
Health Literacy transforms the traditional healthcare dynamic from a one-way information transfer into a collaborative partnership.
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Medicare Telehealth Flexibilities Expire: What You Need to Know
Many of the Medicare telehealth flexibilities that were introduced during the COVID-19 public health emergency are no longer in effect.
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Boosting Mammography Rates with Team-Based Care
Breast cancer screening remains one of the most effective preventive interventions, yet despite well-established guidelines, mammography rates continue to fall short of national targets in many practices. The good news? Team-based care can make a significant difference in screening rates…
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