CMS Shifts to V28 Full Force and Expands CJR Nationwide If you thought risk adjustment was a steady drumbeat, 2026 has introduced a new rhythm. CMS has officially completed the phase-in of the CMS-HCC ...
Several April releases seem to signal some basis for optimism for stakeholders in Medicare Advantage and Part D, though with sufficient undertones to recommend caution. Of particular note, the CY 2026 ...
Table 1. Projected Impact of Proposed Changes to Medicare Advantage Payment Components Announced in the CY 2027 Advance Notice [1] Below we distill in brief some of the updates announced in the CY ...
Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...
CMS uses the HCC score to mitigate selection incentives due to difference in average costs between beneficiaries with different HCC scores. Paradoxically, the way CMS calibrates the HCC bolsters MA ...
As CMS-HCC V28 fully takes effect in 2026, healthcare organizations face a structural reset in risk scoring. SOUTH PLAINFIELD, NJ, UNITED STATES, January 16, 2026 ...
One of the most significant changes for 2024 is the introduction of version 28 of the Risk Adjustment Model, increasing the number of HCCs from 86 to 115, changing the name and numbering of HCCs, the ...
Wellbeing Magazine on MSN
Top 10 risk adjustment platforms for smarter value-based care
This is my hands-on evaluation of 10 risk adjustment platforms for value-based care teams preparing for 2026 Medicare ...
SOUTH PLAINFIELD, NJ, UNITED STATES, January 16, 2026 /EINPresswire.com/ — As 2026 begins, healthcare leaders are no longer preparing for CMS-HCC V28, they are now ...
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