Articles
"On the revenue side, Gorman asserts that MA plans must focus on optimizing risk-adjusted payments — which shift from this year's 75% risk-/25% demographic-based to full risk adjustment for most MA plans in 2007."
Capitalize on the Medicare Advantage Opportunity
"To ensure proper coding, and thus maximize revenue in the new risk-adjustment model, Taggart recommends investing in technology and services that can identify incorrect patterns in provider coding and retrain physicians in order to improve accuracy going forward."
Medicare Advantage Program Payment System
"The payment rate for an enrollee is the base rate for the enrollee's county of residence, multiplied by the enrollee's risk measure, also referred to as the CMS-HCC weight."
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