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Risk Adjustment in Medicare Advantage Explained
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Risk Adjustment in Medicare Advantage Explained. Learn:
1) What a Hierarchical Condition Category (HCC) is.
2) What the Risk Adjustment Factor (RAF) is.
3) How health insurance companies maximize HCCs and RAFs to maximize their payments per beneficiary from CMS (the Centers for Medicare and Medicaid Services).
4) About the alleged fraud and over-billing by health insurance companies in Medicare Advantage as reported by the New York Times.
Sources:
AHealthcareZ is 200+ Healthcare Finance Educational Videos.
AHealthcareZ Viewers Include: Employee Benefits Professionals, HR, CFOs, Insurance Brokers, Benefits Consultants, Doctors and Nurses in Leadership Roles, Hospital and Health System Administrators, Health Insurance Carrier and PBM Professionals, Pharma and Med Device Professionals, Academic Professors and Students in Healthcare Administration and Public Health.
90,000+ Views Per Month Across All Platforms.
Visit AHealthcareZ.com to Subscribe to the Healthcare Finance Video Newsletter.
1) What a Hierarchical Condition Category (HCC) is.
2) What the Risk Adjustment Factor (RAF) is.
3) How health insurance companies maximize HCCs and RAFs to maximize their payments per beneficiary from CMS (the Centers for Medicare and Medicaid Services).
4) About the alleged fraud and over-billing by health insurance companies in Medicare Advantage as reported by the New York Times.
Sources:
AHealthcareZ is 200+ Healthcare Finance Educational Videos.
AHealthcareZ Viewers Include: Employee Benefits Professionals, HR, CFOs, Insurance Brokers, Benefits Consultants, Doctors and Nurses in Leadership Roles, Hospital and Health System Administrators, Health Insurance Carrier and PBM Professionals, Pharma and Med Device Professionals, Academic Professors and Students in Healthcare Administration and Public Health.
90,000+ Views Per Month Across All Platforms.
Visit AHealthcareZ.com to Subscribe to the Healthcare Finance Video Newsletter.
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