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|Provider Coding Accuracy in Commercial Value Based Contracts: Impact on Risk Adjustment and Performance Metrics|
As the prevalence of
commercial value based contracts grows, so too does the variability of a
provider's overall compensation. In value based contracting, providers
are "measured" on certain performance metrics that will dictate ho much
they are ultimately paid. In this environment, risk adjustment plays an
integral role in determining the provider's "measurement" of financial
For value based contracts to be equitable to all parties, risk adjustment should endeavor to accurately capture the change in the underlying population's morbidity to effectively measure the provider's true cost impact on its attributed population. Accurate data is critical in this regard to deliver accurate risk adjustment. The accuracy of risk adjustment is dependent on a provider's capability in capturing the most accurate diagnosis information on patients. Improving risk adjustment accuracy can significantly change a provider's calculated measurement on performance metrics.
Please join us Wednesday, December 13th, 2017 at 1 PM Eastern as Milliman's Rong Yi, PhD explores various aspects of risk sharing as it pertains to value-based contracting for commercial lines of business and addresses the relationship between data accuracy, risk adjustment and measurement of performance metrics. Click here for detailed information and to register or call 209.577.4888.