The partnership’s initial successes have led to a continuation and expansion of services focused on a holistic approach to achieving complete and accurate revenue capture.
In April, the Centers for Medicare & Medicaid Services (CMS) released final policy and payment updates to the Medicare Advantage (MA) and Part D programs through the 2020 Rate Announcement and Final Call Letter. While there are many themes contained in the full document, one major takeaway stood out.
CMS’ annual interim risk adjustment report provides many health plans with their first insights into the risk of their state market and their relative position. Though there are challenges to interpreting the results of this report, the answer to the question “what is it good for?” is certainly not “absolutely nothing.”