As Medicare Advantage (MA) plan options have expanded, the number of insurers wading into MAโs often murky waters is likewise growing. This shift to value-based care from fee-for-service care that…
The financial health of many risk-bearing providers hinges on compliance with risk adjustment and hierarchical condition category (HCC) coding directives associated with Medicare Advantage plans and certain Medicaid plans. Yet…
A recent study published by the Kaiser Family Foundation sheds light on a complex issue โ how to determine the real or predicted cost of care for Medicare Advantage plan…
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