"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...

Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

Health plan and industry trade groups are calling on the CMS to delay or not move forward entirely with proposed changes to the 2024 Medicare Advantage and Medicare Part D plans. The calls come as the ...

This study of financial implications of risk adjustment for Medicare payments to individuals with comorbidities and functional impairment demonstrates the importance of controlling for disability. : ...

SANTA ANA, Calif.--(BUSINESS WIRE)--Responding to the early release draft of 2019 Proposed Changes to the CMS-HCC Risk Adjustment Model, and subsequent releases from CMS in February and April expected ...