A new approach to risk adjustment: How closing care gaps supports payers' bottom line


Payers face a number of challenges in their risk adjustment programs, from data quality and availability to compliance issues and the complex, time-consuming task of analyzing retrospective data to calculate risk.

While retrospective review is a key part of risk adjustment, some organizations are seeing benefits in emphasizing prospective risk adjustment as part of a holistic strategy. This e-book explores how prospective strategies can streamline care gap closures, reduce administrative burdens and drive cost savings for payers.

Insights include:
  • Using prospective risk adjustment to make better predictions
  • Technology that proactively identifies care gaps
  • How digital integration enables more efficient care gap closures
 

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