Health Insurance Exchange Risk Adjustment

Using our Medicare Advantage risk adjustment experience and success, Cognisight has extended our services to the Health Insurance Exchange market. Unlike Medicare Advantage, risk adjustment on the Health Insurance Exchange is a zero-based budget. Said differently, for every risk adjustment winner there is a risk adjustment loser. Risk adjustment is too important to be left in the hands of an inexperienced vendor or for an issuer to learn risk adjustment as you go.

Services available for Health Insurance Exchange:

• Analytics
• Chart Reviews
• Health Assessments
• Initial Validation Audits
  
• Risk Verification
• Provider & Coder Training