Risk Adjustment
A unique opportunity to combine good case management with revenue optimization
Risk adjustment remains the defining issue for Medicare Advantage plans and is central to improving the quality of care provided to chronically-ill beneficiaries. To help meet their needs, we offer a new model for mastering the risk adjustment payment of Medicare Advantage plans.
The service we have designed is uniquely able to drive not only risk-adjusted revenue, but also quality Star Ratings and enhanced medical management. Our program, which centers around a house call program for chronically ill beneficiaries, represents a leap forward from the tools and techniques currently used by health plans.
In partnership with CenseoHealth, we offer targeted member analytics, a unique nationwide network of dedicated mobile physicians specializing in in-home evaluation of your beneficiaries, audit-proof electronic medical record-keeping, and expert professional services in risk adjustment management. Our physicians are licensed in multiple states and can be deployed within weeks to any market in the country.
Many plans have already come to realize that prospective health risk assessments are the most effective way to bring risk adjustment and case management together to drive better revenue, better medical management, better Star Ratings and higher patient satisfaction.
We invite you to learn more about patient evaluations as part of your risk adjustment program today. Contact us at ghg@gormanhealthgroup.com.
