#risk-adjustment

#risk-adjustment

CMS officials said the proposal is intended to improve the accuracy of payments and simplify the billing system. We do not want risk adjustment to be a source of competitive advantage for health plans, Chris Klomp, CMS deputy administrator and director of Medicare, told the Journal. Medicare Advantage is a major revenue driver for insurers and federal payment policies can have substantial financial impacts. The proposed 0.09% increase would translate to roughly $700 million in additional payments across the industry, the report said.