The research from the Alliance for Community Health Plans adds to existing evidence that major insurers are unfairly ...

Risk-adjustment reform should address concerns related to both coding intensity and predictive accuracy. We recommend that reforms to risk adjustment should accomplish key goals including the ...

The Alliance of Community Health Plans (ACHP) is making the case that risk adjustment in Medicare Advantage (MA) needs a ...

To partially correct for overpayments due to coding, the Centers for Medicare and Medicaid Services (CMS) applies a coding intensity adjustment of 5.9 percent to MA risk scores.

With all the changes to risk adjustment coding specifically, such as constrained coefficients for some hierarchical condition categories, individual coders will need additional education that ...

CMS is proposing a 1.03% increase to Medicare Advantage and Part D plan payments for 2024 amid several changes to the risk adjustment model.

For risk adjustment, Cavo offers a next-generation coding solution purpose-built to support Medicare Advantage, Medicaid, and Commercial risk programs.

Talix has entered into a reseller agreement with NextGen Healthcare, Allscripts and Capstone Performance Systems to make Talix's risk-adjusted coding solution available to customers on the ...

For risk adjustment, Cavo offers a next-generation coding solution purpose-built to support Medicare Advantage, Medicaid, and Commercial risk programs.