9 tips to improving Medicare risk adjustment success

Medicare Advantage (MA) plans face a growing list of challenges, from the increase in the Medicare-eligible population, changes to legislative and regulatory payment policies, and possible significant cuts to the Centers for Medicare & Medicaid Services (CMS). Accordingly, MA plans must work smarter than ever before to continue caring for their members.

To help in those efforts, we’ve developed tactics based on our 20 years in the industry that will improve your risk adjustment initiatives this year.

Here are just a few of our expert tips to get you started:

  • Know the estimated reduction in payment—and understand its impact
  • Stay involved and communicate with CMS
  • Get to know your population
  • And more

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