Risk adjustment plays a significant role in Medicare Advantage (MA) contracts and commercial exchange plans, as well as The Centers for Medicare and Medicaid Services’ (CMS) alternative payment models.
For plans participating in these federal programs, capturing accurate risk scores is essential to predicting the cost of care for beneficiaries.
Read the whitepaper, Storm clouds ahead: Risk adjustment comes under the microscope to learn about three strategies that can help plans engaged in risk adjustment to ensure compliance and optimize financial success. They include:
- Dedicating appropriate resources to track the multitude of regulatory requirements
- Educating stakeholders on updates, including the growing importance of supporting documentation
- Leveraging technology to make regulatory information and organizational guidance easily accessible