Chief Healthcare Executive January 5, 2025
By helping providers, plans can optimize the functions that support risk adjustment while also building trust and fostering collaboration that support holistic care.
Ideally, risk adjustment begins with quality care.
Patients participate in routine wellness visits and easily access the healthcare services they need. Providers have lots of time and energy for every patient. Clinical documentation is consistently captured at all points, offering a complete and accurate picture of a patient’s health.
Unfortunately, the ideal often is far from reality. Providers are overwhelmed with heavy patient loads, the administrative burdens required for risk adjustment, and ever-growing amounts of documentation required for value-based care. For these reasons, payers are not receiving the information they need to assign patients accurate risk scores...
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