Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...
CMMI’s new experiment will improve outcomes for volunteers and digital health companies, not the sickest seniors or primary care practices.
Medicare Advantage (MA) is privately administered health care insurance for seniors and persons with disabilities. The program has grown rapidly and now covers more than half of Medicare-eligible ...
As CMS-HCC V28 fully takes effect in 2026, healthcare organizations face a structural reset in risk scoring. SOUTH PLAINFIELD, NJ, UNITED STATES, January 16, 2026 ...
Improving health equity requires changes to risk adjustment, physicians said Tuesday. Current risk adjustment underestimates the total cost of care of patients who have comorbidities and socially ...
SOUTH PLAINFIELD, NJ, UNITED STATES, January 16, 2026 /EINPresswire.com/ — As 2026 begins, healthcare leaders are no longer preparing for CMS-HCC V28, they are now ...
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