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Risk Adjustment Accuracy Overview

November 12, 2015

Risk adjustment is the primary mechanism through which government sponsored healthcare programs, such as Medicare Advantage, Commercial ACA, and managed Medicaid, measure and reimburse sponsored plans for the costs of managing the health of their populations. This webinar will provide a high level overview of the risk adjustment life cycle, from member enrollment through financial reconciliation, across the healthcare landscape. Learn from detailed explanations of:

  •          Clusters of ICD codes and their translation to HCC codes for risk adjustment
  •          Comparison of payment scenarios and timelines across risk models
  •          Risk adjustment from the perspective of health plans, providers, and plan members
  •          Risk score accuracy improvement strategies

--- Inovalon Healthcare Empowered™ http://www.inovalon.com

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2016 CMS Star Ratings and Quality Improvement Landscape for Medicare Advantage Plans
2016 CMS Star Ratings and Quality Improvement Landscape for Medicare Advantage Plans

--- Inovalon Healthcare Empowered™ http://www.inovalon.com

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2016 CMS Star Ratings and Quality Improvement Landscape
2016 CMS Star Ratings and Quality Improvement Landscape

--- Inovalon Healthcare Empowered™ http://www.inovalon.com

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