When CMS mandated Medicare Advantage supplemental benefit reporting in 2024, we faced an unprecedented data challenge: consolidating 102 benefit types from more than ten disparate systems for two million members. This presentation reveals how prompt engineering and AI-assisted development accelerated our solution delivery. Our approach leveraged prompt engineering across the entire development...
As healthcare moves towards a Value-Based Care (VBC) model, the focus is shifting from the volume of services provided to the quality of patient outcomes. This transition emphasizes preventive care, chronic disease management, and patient engagement, with incentives tied to achieving positive health outcomes rather than the number of services rendered. However, implementing VBC presents several...
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