Two mechanisms that MA plans use to identify diagnoses that are not available for beneficiaries in traditional Medicare are in-home health risk assessments and chart reviews. Using MA encounter ...

Medicare Advantage (MA) companies receive higher risk-adjusted payments from the Centers for Medicare & Medicaid Services (CMS) for enrollees who are sicker, which helps to ensure that plans ...

A recent OIG report found that diagnoses reported in 2022 Medicare Advantage (MA) encounter data based only on health risk assessments (HRA) and HRA-linked chart reviews resulted in CMS making ...

Formal risk assessment methodologies can help take guesswork out of evaluating IT risks if applied appropriately. Here are six to consider. Technology is one of the greatest assets companies have ...

Discover your risk for developing diabetes with Medindia's Diabetes Risk Assessment Calculator. There are several risk factors for developing diabetes, particularly type 2 diabetes. These factors ...

I believe that mastering risk assessment while building a diversified portfolio is the key to protecting your assets and achieving long-term, sustainable financial growth. One of the most common ...

On one side would be human judges, who Esthappan interviewed extensively. On the other would be risk assessment algorithms, which are used in hundreds of US counties to assess the danger of ...

This pattern holds consistent across sectors, suggesting a broader industry-wide challenge in operationalizing climate risk assessment. Among those who have fully integrated physical risk ...