ACO Benchmark Calculation: Successfully Understanding the two Levers of Cost and Risk
Our latest ebook, Pulling Both Levers: A Four-Year Analysis of Medicare Cost and Risk Adjustment, unpacks the critical, and often overlooked, importance of effective risk adjustment done in conjunction with medical expense reduction under value-based care.
Tag: Alternative Payment Models / APMs
Alternative Payment Models (APM) reimbursements are tied to benchmarks that are risk adjusted. Successful risk capture is critical to ensuring proper reimbursements, effectively managing costs of your high-risk members, and delivering high quality care.
Risk adjustment makes sure that differences in underlying risk of patient populations are documented accurately. Read more about Alternative Payment Models (APM) in our blog.