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Tech

The $2 Million Risk Adjustment Software That Couldn’t Handle Basic Math

By Sam Allcock08/11/20250

Our new risk adjustment software cost $2 million. It had AI, machine learning, predictive analytics, and more dashboards than a Tesla. It also couldn’t calculate HCC scores correctly when members had more than five conditions. We discovered this during a routine audit. The manual calculation showed $847,000 in missed revenue. The software showed everything was fine. Turns out, its “sophisticated algorithm” had a basic arithmetic error that nobody caught for eight months. The Demo Deception Software demos are perfectly choreographed lies. Clean data flows smoothly. Every click works instantly. Results are always accurate. Then you install it in the real…

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Latest Stories

Shaher Awartani on Giving: A Private Scholarship Programme and Paediatric Healthcare Funding

By Sam Allcock

Mia Martin on What Craft Really Means and Which Stories Are Worth the Effort

By Sam Allcock

Mary Hoover Drucker’s Route Into Corporate Events: Clemson University to Palm Beach

By Sam Allcock
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