"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...

A growing range of policy discussions correctly assert that the current Centers for Medicare and Medicaid Services’ (CMS) risk-adjustment system needs modernization, reflecting its long history and ...

Health plan and industry trade groups are calling on the CMS to delay or not move forward entirely with proposed changes to the 2024 Medicare Advantage and Medicare Part D plans. The calls come as the ...

Both sides have raised concerns to CMS over the ramifications of the Medicare Advantage (MA) advance notice rule. Payers have unsurprisingly voiced their displeasure with the proposed risk adjustment ...

One of the most significant changes for 2024 is the introduction of version 28 of the Risk Adjustment Model, increasing the number of HCCs from 86 to 115, changing the name and numbering of HCCs, the ...

With respect to the 2020 CMS-HCC model, ACAP supports the inclusion of dementia in the model and the model's accounting for the number of chronic conditions. However, we are concerned that, relative ...

The recent drastic drop in stock price is grossly exaggerated. Value proposition of QuantaFlo, Semler's main product, remains intact. We believe that stock prices will revalue as the initial HCC code ...