News

A recently released survey of Medicare ... money on the table – and it could be several hundred dollars a year – but we’re also putting ourselves at potential financial risk.
No Major Changes To Risk Adjustments With Key Reforms Left On The Table Medicare adjusts the monthly base payments to MA plans based on the plan enrollees’ demographic and health risk ...
7. Risk adjustment definitions updated: CMS finalized technical changes to align terminology with current ICD coding standards and clarified risk adjustment data submission requirements for ...
Medicare Advantage (MA) companies receive higher risk-adjusted payments from the Centers for Medicare & Medicaid Services (CMS) for enrollees who are sicker, which helps to ensure that plans ...
CMS has proposed an end to the monthly special enrollment period for those earning below 150% of the federal poverty level, a measure some critics say has undermined continuous coverage and risk ...