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Neck pain is a common ailment that affects millions of people worldwide. Whether it’s from poo

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In the world of healthcare, accurate risk adjustment is crucial. It ensures fair reimbursement for providers by reflecting the health complexity of their patient population. But with a growing emphasis on value-based care, is a traditional Risk Adjustment Solution enough?
Is Your Risk Adjustment Solution Missing the Mark? 3 Questions to Ask Now!
Here are the three key questions to ask yourself if you suspect your current solution might be falling short:
1. Does it Capture the Full Picture of Patient Health?
HCC (Hierarchical Condition Category) coding is a cornerstone of risk adjustment.

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Primary Goal: Its primary objective is to enhance access to high-quality healthcare se

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The CMS ACO Reach Model stands at the forefront of healthcare transformation, driving the transition from traditional fee-for-service reimbursement to value-based care. This innovative approach, initiated by the Centers for Medicare & Medicaid Services (CMS), aims to improve healthcare quality, patient outcomes, and cost-effectiveness by incentivizing coordinated care delivery among providers.
The model builds upon the foundation of the Accountable Care Organization framework, fostering collaboration among healthcare providers to achieve shared savings and enhance patient care. Unlike tradit