Main Library
One of the primary goals for Medicare Advantage (MA) and other value-based care (VBC) programs is to effectively manage patients’ chronic conditions and avoid complications, including hospital admissions and re-admissions, and costly interventions. To accurately compensate providers for the care of these patients, VBC programs rely on clinical risk scores based on the diagnoses for which a patient is receiving care.
However, while it may seem like a straightforward process, finding and documenting the information required for accurate VBC risk assessment is not always easy.