Risk Adjustment Operations

CMS, HHS, and Medicaid are moving models, weights, and technology aspects of risk adjustment continually.  This evolution and speed means health plan, ACOs, and capitated health systems must design and pristinely implement a strategic and dynamic program that incorporates a meaningful percentage of retrospective, concurrent, and prospective initiatives, plus drives data integration with care coordination and complex care management. Whether an entity relies on multiple vendors or an internal team, Wick can help you design, implement and  execute your risk adjustment approach; build a playbook to ensure CMS expectations are met around compliance and health care outcomes, plus premiums accurately covering the cost of care.