SHARE THIS
With shifting regulations and increasing technical complexity, hospitals and health systems face constant pressure to maintain compliance. In this session, Vice President of Regulatory Affairs Angela D. Sorbelli, J.D., LL.M, CHC, MBA at CorroHealth shares how organizations can chart the course as the Centers for Medicare and Medicaid Innovation (CMMI) and healthcare ecosystem shift toward full financial accountability, demanding that hospitals and health systems actively manage cost, quality, and population health across the continuum of care.
We’ll explore how hospitals and health systems can remain proactive in anticipation of this seismic shift, which redefines the core responsibilities of physician advisors from utilization review and denials management to strategic stewardship and clinical alignment. During the session, we will discuss current and anticipated CMMI models such as ASM (Ambulatory Specialty Model), TEAM (Transforming Episode Accountability Model), AHEAD (Achieving Healthcare Efficiency through Accountable Design), and WISeR (Wasteful and Inappropriate Service Reduction), among others. We will also analyze how these models affect utilization management (UM), care progression, clinical documentation, and post-acute care utilization.
Attendees will learn about each model’s scope, payment mechanism, and differing strategies. Through these actionable insights, such as optimizing physician engagement, ensuring that clinical documentation integrity (CDI) accurately reflects patient complexity for risk stratification, and integrating UM efforts with population health goals to reduce avoidable variation and readmissions, physician advisors will be equipped to lead their organizations to success in the upcoming value-based payment system.
Key Learnings:
Better Documentation and Coding Tech Leads to Better CareHospitals and health systems continue to face rising operational pressure. Patient volumes remain high, clinical staffing is tight, and administrative complexity grows every year. At the same time, leaders are...
How to Turn AI Promise into Real Progress in Healthcare AI adoption in healthcare has accelerated, but the gap between enthusiasm and practical results is still wide. As health systems move into 2026, leaders are shifting their attention from theoretical potential to...
Rethinking Healthcare Documentation and Denials for a Better Future Healthcare organizations are moving through one of the most difficult administrative periods the industry has ever seen. Denials are rising, documentation requirements keep expanding, and...
Build a Stronger Bottom Line with our Hospital Budgeting Toolkit Budget season can put health system leaders in a difficult spot. Costs must come down and every dollar has to be justified. But with denials rising, payer demands intensifying, and patient needs growing...
From Defense to Offense: Strengthen Your Denials Management Strategy December 3, 2025, 11:00 AM PSTDenials are on the rise, but not all denials are created equal. With mounting payer obstacles, regulatory complexity and staffing constraints, hospitals need smarter...
Why Hospitals Are Moving Beyond Reactive Appeals to a Strategic OffenseHospitals spend billions of dollars each year fighting claim denials, but the volume keeps climbing. For many leaders, the reflex is to add more staff, more metrics and more appeals in a race to...
