Learn · Medicare · RADV · Horizon Aegis
Horizon Aegis is rehearsal. Not adjudication.
Think of Horizon Aegis as a RADV dress rehearsal that never stops. It does not move money. It makes sure that when CMS picks the sample, the proof is already sealed.
The workbench
SIU work-queue ranking. Documentation-support calibration. Sample-size stress tests. Foresight candidates. All in shadow. Intervention never auto-onboards.
Future-proof without overselling
V28, MEAT, and B11 extrapolation are coded and held off. When CMS or a court gate closes, the same workbench turns the flag on. You do not buy a new product. You do not pay a new rate. Healthcare PI is MCO 5 bps / hospital 0.25% NPR / hospice 1%.
Where to look
FAQ
Is Horizon Aegis a fifth engine?
No. It drafts RADV profiles of CREB, AREB, PIEB, and RREB.
Does the 5 bps change when V28 turns on?
No. Same OPEX rate. Flags stay off until an engagement activates them.