We manage over 5,000,000 members within our Medicare Advantage risk adjustment solutions. Each population (or line of business) has distinct healthcare demands, clinical clues, compliance concerns, and best practices for success in risk adjustment. The Medicare Advantage population is the most studied (from a risk adjustment standpoint).
ArroHealth offers the following services around Medicare Advantage members and patients:
By RaeAnn Grossman Ok, we all know that our EMR systems lack interoperability and that this is a barrier to efficiency and knowledge. We have a choice, a legislative answer or innovative an answer. We either need legislation to enforce interoperability standards or to create an innovative solution to overlay or embed into EMRs to […]
By RaeAnn Grossman What does your risk adjustment team need to think about from application time to bid season? Answers include but are not limited to: Are we changing our formulary and will this impact Rx risk adjustment? Are we narrowing our provider networks and will this impact campaigns or waves? Are we capitating more […]