eBrief: 10 Tips for a Successful Prospective Risk Adjustment Program

It’s imperative for Medicare Advantage Plans to have an accurate clinical picture of every member, so you can get the appropriate revenue to manage their medical needs. An effective risk adjustment strategy will lead to accurate premiums; something all Plans need in light of the federal rate cuts and the CMS Star Rating program changes. Plans no longer receive quality bonus payments unless they are four stars or higher. Now more than ever, you need a documented and proactive risk adjustment strategy, to effectively manage healthcare costs, quality of care and member satisfaction.

For additional information on patient-centered health risk assessments, download a whitepaper developed by the Centers for Disease Control, and learn how the implementation of patient-centered risk assessments, follow-up activities, and monitoring of progress toward achieving health improvement goals can help your organization proactively approach risk adjustment. 

Complete the form below to download "10 Tips for a Successful Prospective Risk Adjustment Program."