Mar 6, 2018
Dave Dillon, FSA, MAAA interviews Karena Weikel, ASA, MAAA on her February 2018 Health watch article: Risk Adjustment: The Details and Why They Matter. The discussion covers the CMS-HCC part C risk adjustment model and the intricacies within. As the health care industry moves towards value-base care, many of the arrangements have some form of a diagnosis-based risk adjustment program. As actuaries, we understand all the intricacies and complexities built into risk adjustment programs. We can help educate our providers, demonstrate our knowledge and provide analytic support.