Becker's Healthcare December 4, 2019
In collaboration with M*Modal

In 2018, 34 percent of Medicare beneficiaries — more than 20 million people — were enrolled in Medicare Advantage plans, according to an analysis conducted by the Kaiser Family Foundation. By 2028, the Congressional Budget Office projects the percentage of Medicare beneficiaries enrolled in Medicare Advantage plans to increase to 42 percent. For these patients, Risk Adjustment Factor, or RAF, scores determine how much Medicare pays for their medical services. Healthcare providers that aren’t billing for chronic conditions may be leaving money on the table, since chronic conditions affect RAF scores.

In October, at Becker’s Hospital Review 5th Annual Health IT + Revenue Cycle Conference in Chicago, 3M and M*Modal, now one company, hosted an executive roundtable to explore how...