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Risk Adjustment in Health Care Government Programs

By: SAS
SAS

Under risk adjustment, health plans with a lower average risk score make payments into the system or miss out on revenue opportunities, while plans with relatively high average risk scores receive payments. So its critical for a plan to get this analysis right or forfeit revenue it deserves.

With advanced analytics and machine learning, health care organizations can be more timely and confident in their risk adjustment programs, more effectively managing the cost of care and building a stable annual financial portfolio.

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Published:  Aug 06, 2019
Length:  10
Type:  White Paper