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Risk Adjustment in Medicare Advantage Explained. Learn:
1) What a Hierarchical Condition Category (HCC) is.
2) What the Risk Adjustment Factor (RAF) is.
3) How health insurance companies maximize HCCs and RAFs to maximize their payments per beneficiary from CMS (the Centers for Medicare and Medicaid Services).
4) About the alleged fraud and over-billing by health insurance companies in Medicare Advantage as reported by the New York Times.
Sources:
www.imohealth....
cdn1-originals...
bettermedicare...
www.medicareri...
www.fierceheal...
www.nytimes.co...
aspe.hhs.gov/s...
www.statnews.c...
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