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The math changed on May 21, 2025. CMS announced it will audit every eligible Medicare Advantage contract annually — roughly 550 contracts, up from approximately 60. The agency is scaling its coding workforce from 40 to 2,000 by September 2025. Sample sizes per audit jump from 35 records to 200. And

The Medicare Advantage regulatory environment just changed faster than most payer analytics platforms were designed to handle. CMS expanded RADV audits from 60 plans to over 550 eligible MA contracts starting May 2025, scaling its audit workforce from 40 to 2,000 coders by September. Star Ratings me

Coding backlogs are a revenue and compliance risk, not just a staffing problem. Here’s how autonomous AI clears the queue.

General-purpose AI wasn't built for the precision clinical workflows demand. Sara SLMs are 12 fine-tuned models — each designed for a specific healthcare task like care gap detection, MEAT evidence auditing, or RCM coding — running on-prem with consistent, reliable results.

Care programs that work at 500 patients break at 5,000. Adaptive Program Intelligence decides who needs what — before the window closes.