May, 2023

Maximizing Risk Adjustment Success in the Second Half of 2023: Four Steps for Health Plans to Take Now. As we count down to the third quarter, it’s time for plans to review year-to-date progress against 2023 risk adjustment roadmaps and determine if any course corrections are needed.

OIG's Expanded Oversight of Medicare Advantage Risk Adjustment: Implications for Managed Care Organizations. Since 2021, 24 OIG audit reports identified more than $400 million in overpayments, with approximately 72% of audited HCCs not validated / supported within medical documentation.

Are you following the ongoing OIG Risk Adjustment scrutiny? Be sure to register for our June 22 webinar for ACOs, payers, CINs and providers.

New Proposed Medicaid Regulations Aim to Enhance Access to Care and Health Equity | Submit Comments by July 3, 2023. The proposed rule, Ensuring Access to Medicaid Services, includes changes to existing requirements and introduces new requirements.
Join ATTAC Consulting Group's Risk Adjustment experts for an insightful webinar as we delve into the ongoing scrutiny by the OIG and its impact on ACOs, payers, CINs and providers.

Our expert panel will discuss:

  • The implications of OIG Risk Adjustment audits for the value-based care community and beyond
  • Strategies for risk-bearing organizations to identify potential audit threats, understand the consequences, and develop effective solutions to mitigate risk
  • Key factors for robust Risk Adjustment programs that elevate member quality of care and improve outcomes
  • Insights from OIG audits issued to date 
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