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 ...
Table 1. Projected Impact of Proposed Changes to Medicare Advantage Payment Components Announced in the CY 2027 Advance Notice [1] Below we distill in brief some of the updates announced in the CY ...
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 ...
Humana has indicated it will reduce extra benefits in its 2027 Medicare Advantage plans, citing insufficient federal payment ...
Two recent announcements from the Centers for Medicare & Medicaid Services (CMS) continue to signal the Trump administration’s approach to the Medicare Advantage (MA) program, building on trends first ...
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 ...
Medicare Advantage plan payments are expected to get an 8.5% revenue increase for 2023. This is an increase over the 7.98% proposed in the February advance notice. The 2023 growth rate is set at 4.88% ...
The MarketWatch News Department was not involved in the creation of this content. Joint customers can improve coding accuracy, strengthen compliant submissions, and strengthen RAF integrity with ...
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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