April 28, 2023
High-quality health plans that meet consumers’ needs should be rewarded over plans that prioritize chasing risk adjustment revenue. But that’s not always the case. In reality, aggressive risk adjustment practices in Medicare Advantage (MA) are delivering bigger payments than bonuses for high-quality coverage and care. There’s something wrong with that math.
New from ACHP:
- A Conversation About Pride Month with ACHP’s Maddy Morris
- A Conversation About AAPI Heritage Month with CMS’ Daniel Tsai
- A Conversation About AAPI Heritage Month with Fallon Health’s Ismael Espino
- A Conversation About AAPI Heritage Month with UPMC Health Plan’s Lakshmi Davar
- ACHP Welcomes Ochsner Health Plan as Newest Member
- Medicare Advantage’s Misaligned Incentives: Risk Adjustment Pays More Than Quality
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