Financial Recovery Group

Is your revenue aligned to your members' risk profiles?

FRG’s RAMP helps Medicare Advantage plans and provider groups identify gaps, track chronic condition recapture, and build accurate accruals.

Stop leaving revenue on the table. Read: https://frgsystems.com/healthcare-finance-news/risk-bearing-contracts-with-ramp-by-frg

RAMP by FRG for Risk Adjustment Analytics Learn how RAMP by FRG helps Medicare Advantage plans and risk-bearing organizations identify revenue gaps, improve HCC recapture, and more.

“Radical payer-provider collaboration" and full-risk arrangements are vital for success in value-based care, said speakers at the Spring 2026 NAACOS conference.

🙌 Kevin Spencer, chief medical officer of Millennium Physician Group, told attendees that organizations that can identify high-performing physician behaviors and replicate them at scale will survive CMS’s continued revenue pressures.

🫵 He highlighted guideline-directed medical therapy as an underutilized tool. While it can reduce admissions by 60%, fewer than 20% of patients with conditions like heart failure are currently on these regimens.

🤝 Robert Millette, senior vice president at Astrana Health, called for the delegation of care and utilization management, alongside real-time claims data-sharing, so teams can act proactively rather than reactively.

To read the full article, visit https://www.ajmc.com/view/building-payer-provider-partnerships-for-a-stronger-health-ecosystem.

Led by data science and client pain points in contract performance, revenue capture, cost containment, and margin growth, AccuReports’ analytics highlight members at risk and avoidable high-cost utilization for prioritized member outreach and condition monitoring.

For more information about FRG’s healthcare financial intelligence solutions, email [email protected] or call 888-466-1025.

Building Payer-Provider Partnerships for a Stronger Health Ecosystem | AJMC At NAACOS 2026, value-based care leaders make the case for treating payers as partners and explain what providers must see in return.

The Centers for Medicare and Medicaid Services temporarily paused new home health and hospice enrollment into Medicare. The pause applies to applications for initial Medicare enrollment and follows a fraud prevention proposal to score facilities on inappropriate utilization, care quality, and compliance concerns.

For more details, visit

CMS pauses home health, hospice provider enrollment into Medicare CMS said the six-month pause will help the administration crack down on fraud.

How do risk contracts actually work?

In the shift to value-based care, providers are taking on more financial accountability for patient outcomes. Our latest article breaks down:
✅ Shared savings vs. global capitation
✅ Benchmarking & attribution
✅ Quality gates

Catch up on the essentials of healthcare risk contracts: https://frgsystems.com/healthcare-finance-news/what-is-risk-contract-in-healthcare

What Is a Risk Contract in Healthcare? | FRG Risk contracts connect provider payment to cost and performance. Here’s how they work and what that means in practice.