Simplifying healthcare

According to recent data, there are 59.7M Medicare beneficiaries. Approximately 32% of those beneficiaries are under 200% of the federal poverty level and are potentially eligible for Medicaid. Although the number of enrolled dual eligible members has increased from 8.6M in 2006 to 12M in 2017, there is still a significant amount who are currently unidentified, representing a tremendous opportunity for health plans who need to implement or optimize their campaigns.

Working with a risk adjustment vendor can help ACOs accurately capture HCCs as they tackle the risk adjustment process for the first time. Here are questions to ask a potential risk adjustment vendor.