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Risk Adjustment 101: Health-Based Payment Adjustment Methodology

Cognisight was a premier sponsor and presenter at The Risk Adjustment Forum for Health Plans in Chicago. Executive Vice President Kim Browning co-presented "Risk Adjustment 101: Health-Based Payment Adjustment Methodology."  

Specific learning objectives included:
  • Risk adjustment overview: definition and background
  • Risk adjustment models: CMS-HCC, HHS-HCC, Medicaid models
  • The goals and benefits of risk adjustment
  • Risk adjusted payment differences between Medicare Advantage and commercial plans: government payment vs. fixed pool, zero-sum payment

To download the presentation slides, please click here.