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Clapping Audience

​Intelligence Brief: High-Value FFS Toolkit Part 1

In this Part 1 of a three-part series, we explore high value FFS codes to support enhanced care management services, detailing eligibility and service requirements, billing and best practices.

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What's New

What's New In Health Endeavors 

Stay up-to-date with the latest enhancement and feature updates. 

Acuity Navigator​

The Acuity Navigator is designed to provide directional data on how well your population's true clinical complexity is being captured in CMS risk scoring. The navigator provides details at the following aggregated views: 

  • Population Stats

  • TIN Summary 

  • NPI Summary 

  • Patient Summary 

  • Details by Diagnosis

Note the HCC Details and Summary quick report will be retired as all the data will now be accessible via the Acuity Navigator.

 

Learn more on Acuity Navigator

Target Release Date: 4/16/2026

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Quick Report Updates

Emergency Visit   

 

This quick report details emergency department visit claims by parts A and B. This report can be used to develop trends around volume by facility, for what procedures and diagnoses as related to emergency department encounters. The latest enhancements include summary exports and visuals.

  • ​Patient details (export)

  • Summary by Facility (export)

  • Summary of avoidable ED visits by attributed provider (export)

  • Summary by diagnosis (export)

  • Average spend (visual) 

  • Total spend (visual) 

  • ED visits vs avoidable ED visits 

  • ED visits vs ED visits that led to admission

Estimated Release Date: 06/10/2026

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PMPM Specialist Spend - Summary  

 

This report outlines PMPM (month), PMPQ (quarter), and PMPY (year) average costs and total spends for each provider specialty and claim type. The Visuals represent the PMPM, PMPQ, and PMPY averages for the year selected. 

Release Date: 06/03/2026

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HCC Acuity Impact  

Health Endeavors is pleased to announce the new HCC Acuity Impact Report.  

The report provides directional data to guide action steps at both the patient and provider level, giving users the ability to understand diagnoses that have the highest impact on acuity.  

 

Three new visuals provide the following:  

  • Top 20 providers with Acuity Changes 

  • Top 20 Patients with Acuity Changes 

  • ACO Performance Overview 

Release Date: 2/10/2026

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Carebotic Activity Log 

The Carebotic Activity Log report has been updated and now offers 2 export options 

  1. The Activity Details provides details on individual actions that were captured in the Carebotic. This export will now include the claim received date after the Carebotic ICD10 push action. 

  2. The Activity Summary will identify a high level summary of each TIN:  ​​​​

    • Attributed patient count​

    • Attributed patient count that has at least 1 HCC that has not been recoded in the year 

    • Patient visits - indicated how many patients how many of the attributed patient population had a visit with a provider associated to the TIN   

      • Claim with an NPI that is associated to the TIN – must match network manager setup.   

      • Claim must be within the current year of the through date.   

    • Patient Action Count - how many unique patients has at least one action within the date range 

    • Lowest and Highest user engagement 

      • Data generated varies per user ID format that is provided by the EHR.

Release Date Scheduled 02/03/2026

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The Patient Summary Quick Report 

The Patient Summary quick report has been updated to include the beneficiary demographic details. Along with these new updates we will be retiring the Beneficiary Demographics quick report.  

Same great data, one generated report:  

  • Patient Summary quick report updated  

  • Beneficiary Demographic quick report archived 

Release Date: 1/22/2026

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Recorded Webinars

2025 CMS Final Rule Webinar – Join the nationally recognized health policy expert and director of Managing Director of Medicare Services at HMA, Amy Bassano, for a in depth discussion about the 2025 CMS Final Rule. Watch Recorded Webinar

Thursday, December 5th at 2:00 EST

2024 All About Quality Webinar – Join our quality team as we break down all of the options and the step-by-step process of making your reporting season smooth and easy. Watch Recorded Webinar

Thursday, December 12th at 2:00 EST

Planning for 2025 Quality Webinar –Join our quality team as we break down your options and requirements for 2025.  Watch Recorded Webinar

Populations and Programs
  • ACO REACH 

  • Primary Care First (PCF) 

  • Medicare ACO 

  • Medicare Blue Button FHIR

  • Medicare DPC FHIR

  • Medicaid

  • Commercial

  • Medicare Advantage (MA)

  • Self-Insured Employer TPA

  • Remote Patient Monitoring (RPM)

  • Chronic Care Management (CCM)

Health Endeavors

P.O. Box 27290

Scottsdale AZ  85255

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888.862.0366

2024 Health Endeavors

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