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Risk adjustment plays a significant role for health plans participating in federal programs such as, Medicare Advantage (MA) contracts, commercial exchange plans, and CMS alternative payment models. Capturing an accurate risk score is essential for predicting the cost of care, but is now even more of a focus for health plans to ensure their RA processes remain in compliance.
Read the whitepaper to learn three strategies that can help plans engaged in risk adjustment ensure compliance and optimize financial success:
- Dedicate appropriate resources to track the multitude of regulatory requirements
- Educate stakeholders on updates, including the growing importance of supporting documentation
- Leverage technology to make regulatory information and organizational guidance easily accessible