Implementing a Forward-Facing Approach to Risk Adjustment

Capturing and quantifying risk is a critical task for payer organizations, but it comes with several challenges. Data quality and availability, the time and effort required to complete data analysis and interpretation, and regulatory and compliance issues are just a few of the challenges Payers face today.

Balancing the administrative burden and cost associated with addressing these chal lenges can sometimes come at a high cost to health plans, providers, and their mem bers. In addition to the complexity and time-consuming task of analyzing retrospective data to calculate risk, Payer organizations must also find the best solutions to positively influence patient engagement and behavior, while managing external factors such as social determinants and the ever-evolving healthcare landscape

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Implementing a Forward-Facing Approach to Risk Adjustment

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