Analysis of COVID-19 and Telehealth Impact on Risk Adjustment

As COVID-19 continues to invade our personal and professional lives, every day brings new changes for the healthcare industry. Not long ago, health systems and provider organizations were instructed by the Centers for Medicare and Medicaid Services (CMS) to postpone, cancel or redirect any nonessential office visits, and even to limit in-person essential services, so that clinicians […]
2018 ACA Risk Adjustment Interim Report: Huh, Yeah, What is it Good For?

Though there are challenges to interpreting the results of CMS’ annual interim risk adjustment report, the answer to the question “what is it good for?” is certainly not “absolutely nothing.” CMS’ annual interim risk adjustment report provides many health plans with their first insights into the risk of their state market and their relative position, outside of […]