Medicare Advantage Risk Adjustment and Risk Adjustment Data Validation Audits

Format:

Book

Government document

Author/Creator:

Library of Congress. Congressional Research Service

Language:

English

Subjects (All):

Accounting.

Medical economics.

Medicare.

Risk assessment.

Physical Description:

1 online resource

Contained In:

ProQuest U.S. Congressional Research Digital Collection

Place of Publication:

[United States] [publisher not identified] 2012

Summary:

Describes how CMS pays providers under Medicare Advantage (MA) and how these payments are risk adjusted. Explains how risk scores for individual Medicare Advantage enrollees are initially generated and change over time, and discusses how CMS audits risk-adjusted MA payments. Considers several concerns raised with risk adjustment and the audit process. Includes graphs and tables

Notes:

CRS Report

Record is based on bibliographic data in ProQuest U.S. Congressional Research Digital Collection (last viewed Apr. 2014). Reuse except for individual research requires license from ProQuest, LLC

Vendor supplied data

Other Format:

Microfiche version Library of Congress. Congressional Research Service. Medicare Advantage Risk Adjustment and Risk Adjustment Data Validation Audits

Publisher Number:

CRS-2012-DSP-0004

Access Restriction:

Restricted for use by site license