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PACE/Duals Risk Adjustment

Dually-eligible members participate in the HCC risk adjustment model for the Medicare portion of their population. As a result, PACE/Duals programs are paid using the HCC methodology. It’s crucial that PACE/Duals programs risk adjust their membership. By partnering with Cognisight to accurately and completely capture the diagnostic information about your participants, you have the right information to provide the best care possible.

Services available for PACE/Duals: