Advent Advisory Group LLC

Timely insights from #CMS. Advent Advisory Group LLC supports health plans with #HEDIS®, #NCQA, #URAC, and data validation services that help build stronger, more resilient quality and compliance programs: https://lnkd.in/gznU-xKF Learn how we help 👉🏼 info@adventadvisorygroup.com

Why has improving #MedicalLossRatio become so challenging? As part of the Alerion Advisors family of companies, Advent Advisory Group LLC helps health plans navigate rising #MLR through a comprehensive, action-based approach. Together with Alerion Advisors, Toney Healthcare and Rebellis Group, we've developed an executive perspective and MLR Assessment that help health plans identify opportunities beyond traditional cost management. If you're a health plan leader looking to strengthen MLR performance, we'd love to connect and share how leading organizations are approaching this challenge. Read the article: https://lnkd.in/ei3XYmk4

Peggy Ketterer is heading to next week's California Association of Health Plans Seminar in Burbank! As Medi-Cal evolves, we're helping health plans position themselves for success with expertise in data validation, HEDIS®, URAC accreditation, audits, regulatory readiness and quality improvement. If you'll be there, connect with Peggy or comment below—we'd love to talk.

The proposed 2027 #CMS Medicare Program Audit Protocols reinforce the importance of proactive audit preparation, data validation and documentation integrity. Learn how Advent Advisory Group LLC's Pre-Audit Data Validation Assessment helps health plans validate data, identify documentation gaps and strengthen audit readiness before CMS arrives: Review the proposed protocols and contact us for next steps: https://lnkd.in/gy3m9RYW

The headlines are focused on recalculated #QBP ratings. The real question is whether the data supporting those ratings is accurate, defensible and audit ready. As plans evaluate the financial impact of revised ratings and potential bid resubmissions, data integrity remains critical. ✔ Data Validation ✔ Audit Readiness ✔ Reporting Accuracy Strong ratings begin with defensible data. We are here to help. Read more 👉 https://lnkd.in/eQDzNFiP #MedicareAdvantage #DataValidation #AuditReadiness #CMS

By now, many #MedicareAdvantage leaders have read about the Clover Health ruling and its potential implications for #StarRatings. The legal outcome will continue to play out, but the ruling is another reminder that health plans are operating in an environment of increasing regulatory scrutiny and complexity. As plans navigate Stars redesign, compliance requirements and evolving oversight, success will require: 🔹 Audit readiness 🔹 Data integrity 🔹 Regulatory compliance 🔹 Defensible processes At Advent Advisory Group LLC, we help organizations build confidence through independent validation, compliance expertise and audit support. Read more: https://lnkd.in/e2uNBWaC

CMS’ #ACA Final Rule 2027 reinforces what health plans already know — audit readiness, data integrity and compliance oversight matter more than ever. For over 20 years, Advent Advisory Group LLC has partnered with health plans to maximize #HEDIS® performance through data optimization, audit expertise and customized reporting strategies. Today, Advent supports nearly 40% of health plans with 4.5+ Stars — helping organizations improve outcomes, strengthen reportability and prepare for what’s next. Advent is: 1 of only 9 #NCQA-licensed HEDIS Compliance Audit™ organizations 1 of only 4 #URAC-approved validation vendors Read our latest article 👉 https://lnkd.in/gnwswf-W

1 of only 9 #NCQA-licensed #HEDIS Compliance Audit™ organizations. 1 of only 4 #URAC-approved validation vendors. For over 20 years, Advent Advisory Group LLC has partnered with health plans to maximize HEDIS performance through data optimization, audit expertise and customized reporting strategies. Today, Advent supports nearly 40% of health plans with 4.5+ Stars — helping plans improve outcomes, strengthen reportability and prepare for what’s next. Elevate your HEDIS strategy with confidence. 👉 info@adventadvisorygroup.com

Many #MedicareAdvantage plans are heading into 2027 focused on submission timelines — but not enough are focused on the quality and defensibility of the data behind them. A #presubmission data check is no longer just a best practice. It’s becoming critical to reducing downstream risk, audit exposure, operational disruption and compliance challenges. At Advent Advisory Group LLC, we’re currently helping plans identify issues earlier, strengthen data integrity and improve readiness before submission deadlines arrive. Read more: https://lnkd.in/eD6hHErC Contact us to get started 👉 info@adventadvisorygroup.com

Alignment across quality and operations is key—excited to be part of what Alerion Advisors is building. Check out the release below 👇