Posts Tagged ‘Health Plan Risk Adjustment’

Healthcare organizations are facing unprecedented regulatory pressure in 2026 due to a convergence of political, economic, technological, and enforcement forces. Political volatility, driven by election cycles and shifting federal priorities, creates uncertainty as administrations introduce new healthcare agendas, while state-level regulations add complexity for multi-state systems. Heightened public accountability is also fueling stricter mandates, with…

In the age of Industry 5.0, healthcare is evolving beyond automation and efficiency toward a value-based model that emphasizes human-centric innovation, intelligent collaboration, and strategic data use in population health management. This shift is especially evident in risk adjustment, where the synergy between clinical expertise and advanced technologies like artificial intelligence (AI) and analytics is…