risk adjustment

Ten ways Medicare Advantage plans improve risk adjustment successMedicare plans must understand the impact of CMS rule change to be prepared for risk adjustment in 2017. Here are 10 tips to better manage the risk adjustment process.
Remote Patient Monitoring is a Wise Investment for PayersThe results of Geneia’s year-long study – a savings of $8,375 per patient and a slowing of disease progression – demonstrate that remote patient monitoring is a wise investment for payers.
Advanced Analytics Improve Physician Engagement and Performance in ACOsHealth plans are using advanced analytics to improve physician engagement, performance and satisfaction in ACOs and risk-sharing contracts.
Payers Can Help with the Joy of MedicinePayers have a direct interest in preserving independent physician practices and helping all physicians regain the Joy of Medicine.
Advanced Analytics Triple Win for PayersThe use of advanced analytics by payers can improve administrative and medical costs, provider satisfaction and member health.
CMS proposal could improve risk adjustment model for health plansThe proposed HHS Notice of Benefit and Payment Parameters for 2018 indicates CMS is focusing on refining the risk adjustment model to better compensate plans.
Three ways to draw competitive advantage from risk adjustmentRisk adjustment has great potential if you follow these three simple rules.
How insurers should prepare for future ACA risk adjustmentsThe first-year results of the ACA’s Risk Adjustment Program are in. Find out how it worked out and what insurers need to do next.
Opinion: 4 ways to improve ACA risk-adjustment modelThe ACA risk-adjustment model applies to plans sold in the individual and small group commercial market, including plans sold through exchange marketplaces. Here are four main limitations.
Payer risk adjustment strategies: Getting paid soonerMedicare Advantage plans that are slow to submit risk adjustment data are at a big disadvantage.