• Over 10% of the U.S. population is now covered by an accountable care organization (ACO), and the number of risk-adjusted lives is growing at roughly 15% to 20% each year. To date, risk adjustment has primarily consisted of payers retrospectively reconciling work done with payments owed. With the Medicare Access and CHIP Reauthorization Act (MACRA) […]

  • Introducing 360-Degree Risk Adjustment - a strategic approach that considers risk adjustment optimization from all angles, including technology modernization, enhanced provider collaboration, departmental integration, and performance management.