The Challenges and Opportunities for Optimizing Risk Adjustment Processes

Whitepaper: Challenges and Opportunities for Optimizing Risk Adjustment

Results from an Xtelligent Healthcare Media survey of Medicare Advantage plans.

 

Understanding a patient’s risk is critically important to payers. Not only do risk scores help organizations predict resource needs for appropriate patient care, they also help plans financially prepare for future care needs of their member population. And while there are varying methods for approaching risk adjustment, each method relies on leveraging complete diagnostic and demographic data of each patient.
Risk Adjustment cover
To better understand the common challenges and goals of the HCC risk adjustment process, and the tools leveraged to make the process more efficient, Wolters Kluwer commissioned Xtelligent Healthcare Media to conduct a survey which polled senior-level or above employees from Medicare Advantage plans across the country.

Read the whitepaper learn about:
-The current state of HCC risk adjustment
-Top 3 challenges with the risk adjustment process today
-Future strategies for improving or optimizing the workflow

 

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