"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...

Comprehensive risk adjustment analytics system analyzing Medicare behavioral health patients to quantify the cost impact of diabetes comorbidity using the CMS-HCC Version 28 risk adjustment model.

(MENAFN- Robotics & Automation News) The Evolution of CMS Risk Adjustment: Past, Present, and Future Early History of Risk Adjustment in Healthcare This blog explores the basics and early history of ...

For 2022, the Centers for Medicare and Medicaid Services is proposing to use only encounter data in calculating risk adjustment used to pay Medicare Advantage plans. The Part C risk score would rely ...

The federal agency announced an effective growth rate of 4.88 percent and an 8.5 percent average revenue increase for Medicare Advantage and Part D plans. Payments to PACE organizations will continue ...

Medicare Advantage plans get a 1.66% rate increase for 2021, which is higher than the .93% the Centers for Medicare and Medicaid Services announced in its advance rate notice. CMS on Monday published ...