The healthcare industry is in the midst of transformational change, driven by the introduction of the V28 Hierarchical Condition Category (HCC) model and other related factors. This change is spurring ...
NEW YORK, June 1, 2025 (Newswire.com) - As healthcare payers face intensified regulatory oversight, rising healthcare costs, and the evolving complexities of risk adjustment, Black Book Research today ...
CMS announced plans in March to implement Medicare Advantage risk adjustment changes phased in over the next three years, and Optum is adjusting. CMS maintained the changes will slightly raise ...
This is my hands-on evaluation of 10 risk adjustment platforms for value-based care teams preparing for 2026 Medicare Advantage, or MA, and accountable care organization, or ACO, contracts. My scoring ...
– Penguin Ai has announced the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution as a Snowflake Native App. – By bringing its risk-adjustment intelligence directly ...
The current MA risk adjustment model has shortcomings, both in predictive accuracy and payment equity across the Medicare program, which could be mitigated using lessons from machine learning. MA ...
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