Due to the necessary stay-at-home recommendations and requirements throughout 2020, Medicare Advantage organizations now face the problem of inadequate opportunities to collect encounter data to perform complete risk adjustment calculations. Given the considerable impact of risk adjustment scores on consumer premiums, benefit packages and patient out-of-pocket costs, ACHP urges CMS to adjust the MA risk adjustment policies for 2021 and 2022.
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.