Managing risk adjustments in Medicare Advantage programs in at-risk models

As of 2014, 30% of the 54 million Medicare populations are enrolled in Medicare Advantage plans, a drastic increase from 13% 10 years prior; and the number is expected to be on the upward trend.  As providers negotiate more Medicare advantage contracts, they are also moving from “no-risk” model to “shared savings” and “at risk” models.  In order to be profitable in “at risk” models, providers must manage through shift from quantity to quality; understand role of risk adjustment in the Medicare Advantage programs, HCC risk scores, risk scores in benchmark periods and performance years. We offer a unique blend of products and services, all designed to help you navigate the changing payment landscape in healthcare understanding your risk levels and who your customers are.