CMS Risk Adjustment Data Submission Deadlines and Payment Schedule
The nature of capitation and the risk adjustment payment method requires specific deadlines for data submission that correlate to dates of service and affect capitation payments. The Centers for...
View Article2014 Holds Big Changes for the CMS-HCC Model
The purpose of the CMS-HCC model is to improve the accuracy in predicting the costliness of Medicare Advantage (MA) enrollees’ healthcare costs and to properly fund MA plans for those expenses. It...
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