Medicare Advantage’s Misaligned Incentives: Risk Adjustment Pays More Than Quality

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.

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Mat Gulick
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Making Health Care Better

ACHP is the voice of a unique approach in health care today, one that puts the patient at the center with plans and clinical teams collaborating to improve health outcomes and reduce costs. Our advocacy focuses on providing policymakers with tested solutions, rooted in a model that is proven to deliver better value for patients, employers and taxpayers.

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