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CMS-HCC Risk Score Accuracy Improves Clinical Outcomes among Medicare Advantage Enrollees
2017
Health Care Current Reviews
The coding of Hierarchical Condition Categories (HCCs) is tantamount for CMS' reimbursing private plans that participate in the Medicare Advantage (MA) program. HCCs are associated with disease states with higher future medical costs. The CMSHCC payment mode provides MA plans with prospective, monthly, risk-adjusted or diseasebased payments centers, based on the concept that recompense should reflect the disease and related cost burdens of the pertinent population. Much has been written about
doi:10.4172/2375-4273.1000205
fatcat:3acbir3xhrcbfmzerphjd2evqa