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 What are the new trends in Medicare Advantage risk adjustment and premium accuracy? Monthly reporting on your RAPS to EDS impact on RAF (monitoring your data compilation and completeness) Starting your in-patient medical record review as early as possible Conducting as many second level reviews as your budget allows; 2LR typically yields […]
By RaeAnn Grossman Pharma. The most interesting and accurate data for persistent and inferred conditions is pharmacy data. If you know your pharma data, you can create a member profile for retrospective, concurrent, and care targeting. Prescriptions are typically closely aligned with conditions, not always at a one-to-one ratio. Make certain you have the complete […]