15 March 2023 - by Jason Choi, Karin Cross, Rebecca Gergen
Our presenters discuss risk model changes for the 2024 bid year and beyond as well as considerations in risk score coding accuracy in light of the final RADV audit rule.
28 February 2023 - by Rob Pipich, Karin Cross, Michael Rothschild
The 2024 Medicare Advantage (MA) Advance Notice includes a proposal to implement a clinically revised risk score model to be used for MA payments for calendar year 2024.
08 February 2023 - by Rob Pipich, Karin Cross, Michael Rothschild
The RADV final rule has significant implications for how Medicare Advantage plans are paid. Learn more about how the final rule may affect MA stakeholders.
27 February 2017 - by Darcy Allen, Karin Cross, Rob Pipich
After calculating the Medicare fee-for-service risk score trends and Hierarchical Condition Category (HCC) changes using the Medicare 5% Sample, we determined that there are six key HCCs driving those trends.
