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The 'Rxisk' of Adjustments in 2018 ACA Risk Adjustment
Milliman
Aug. 21, 2017 11 pages. "[CMS] is adding a new prescription drug category classification system to the 2018 risk adjustment model. Starting in 2018, a condition will be identified through a Hierarchical Condition Category with associated medical diagnosis codes, a prescribed medication, or both -- each one affecting the final risk member score differently. This paper approximates the likely CMS mapping based on the publicly available information to date." MORE >> |
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