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10 steps to enhance your medicare risk adjustment success

As its beneficiary population continues to expand, the Medicare program faces persistent pressure to do more with less. ...

RISE interviews Verscend experts on the impact of the EDS transition

In its Summer 2016 newsletter, the Resource Initiative and Society for Education (RISE) features an interview with Versc...

how CMS’ medicare advantage final rules could impact your plan

From methodology updates to a new way to segment eligible populations, 2017 offers up some impactful rule changes that c...

the financial impact of 2017 medicare advantage payment rules

In early April, the Centers for Medicare & Medicaid Services (CMS) released its Final Call Letter outlining payment meth...

8 tips for a seamless commercial risk adjustment program

With the implementation of its payment transfer model, The U.S. Department of Health & Human Services (HHS), in conjunct...

highlights of CMS’ 2017 advance notice

Following the release of the Centers for Medicare & Medicaid Services’ (CMS’) proposed changes for 2017 Medicare Advanta...

ICD-10 and its impact on risk adjustment

Tackling the first year of risk adjustment since the ICD-10 transition took effect last fall, we’ve kept our ears to the...

prepping for what’s next in risk adjustment

2016 is expected to present new risk adjustment reporting challenges for Medicare Advantage plans. We recently visited w...

calculating risk scores for dual eligibles under the medicare risk adjustment model

While the Medicare Advantage risk adjustment model has been in place for several years now, health plans are just beginn...

the features of best-in-class medicare risk adjustment reporting

Health plans providing Medicare Part C (Medicare Advantage) coverage to beneficiaries are often under pressure to correc...

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