FINDING THE WAY BACK TO LOST REVENUE IN VALUE-BASED CONTRACTS

The rapid expansion of value-based care and shared-risk contracts leaves little room for performance missteps. The Centers for Medicare & Medicaid Services aim to have 100% of Medicare and most Medicaid beneficiaries in accountable care organization (ACO) models by 2030. 

Financial success hinges on ensuring risk adjustment factor scores accurately reflect care needs across the patient population. Without a risk adjustment program, providers and payors are more likely to miss care gaps, fail to identify at-risk populations and inaccurately document acute and chronic conditions.  

Because capturing even a small percentage of those who’d otherwise fall through the cracks can translate to significant revenue, you should check out our eBook to learn how risk adjustment works and what analytics can do to maximize reimbursements.