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  • Building More from the Risk Adjustment Foundation
    By RaeAnn Grossman Q: What else can risk adjustment give you insight into? A: Your members, how they use the healthcare system, what their gaps in care are, who their preferred physicians are, and if their care gaps will close without engagement.   When we asked our clients, if they had a strong member profiling […]
  • Pharma Inclusion in Risk Adjustment: ArroHealth’s & Payers’ Initial Thoughts
    By RaeAnn Grossman Since 2005, we have used pharmacy information for suspect analytics, but now CMS is recognizing this information as truly aligned for some conditions. Starting in 2018, prescription data could be used to highlight the predictive ability of select conditions. In October 2016 the Alliance of Community Health Plans wrote a letter to […]