CEO SUMMARY: Payers who use risk adjustment models as part of Medicare Advantage need diagnostic data that helps them document ICD-10 diagnoses that earn them higher premium payments for sicker patients. Clinical labs have lab test data that can identify undiagnosed disease and share in the higher risk-adjusted payments. IN TRANSITIONING FROM FEE-FOR-SERVICE MODELS TO …
Lab Data Crucial to Insurer Risk Adjustment Models Read More »
