Blogs

The renewal conversation arrives on schedule. Your legacy risk and quality vendor sends the deck. The account team shows up. The numbers look familiar. And somewhere in the room, someone says: "We know how it works. Switching is risky."

The math is brutal and immediate: CMS expanded RADV from roughly 60 Medicare Advantage contracts audited annually to all 550+ eligible contracts — every year, starting now. Record reviews jumped from 35 charts per plan to up to 200. The agency is scaling its coding workforce from 40 to nearly 2,000