risk adjustment

How to turn in-home assessments into “close encounters of the right kind”

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Health plans complete in-home health assessments (often called health risk assessments) for their members for several reasons: accurately documenting members’ risk burden, supporting care management initiatives, and improving member engagement with the health plan, to name a few. But plans that don’t optimize their in-home… Read More »How to turn in-home assessments into “close encounters of the right kind”

CMS releases ACA risk adjustment transfer payments and HRADV adjustments for 2019

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The Centers for Medicare & Medicaid Services (CMS) recently released the health plan-specific 2019 benefit year risk adjustment transfer payments. As part of the Affordable Care Act (ACA), these payments move money from health plans that serve healthier populations to those with sicker members. Based… Read More »CMS releases ACA risk adjustment transfer payments and HRADV adjustments for 2019