The Centers for Medicare & Medicaid Services (CMS) continues to adjust its Medicare Advantage programs. And while healthcare technology has advanced quickly over the last decade, the business of healthcare continues to face the growing challenges of data aggregation, changing regulations, and a greater eligible population than ever before.
As our industry moves forward into to this complex future, the stakes are higher, and the burden is growing for plans to determine, validate, and report their populations’ health risk.
Our eBrief, “The Future of Medicare Risk Adjustment,” provides useful insight for plans looking to adapt to what’s next, including:
- Seven features of a best-in-class risk adjustment program
- How 2017 rule changes can impact plan revenue
- Advice on balancing the impact of the blended RAPS/EDS model