CMMI’s new experiment will improve outcomes for volunteers and digital health companies, not the sickest seniors or primary care practices.

Accurate risk adjustment isn’t just a box to check; it’s now a strategic lever. Hierarchical Condition Category (HCC) coding underpins risk scores that drive Medicare Advantage and other value-based ...

SOUTH PLAINFIELD, NJ, UNITED STATES, January 16, 2026 /EINPresswire.com/ — As 2026 begins, healthcare leaders are no longer preparing for CMS-HCC V28, they are now ...

Medicare Advantage (MA) is privately administered health care insurance for seniors and persons with disabilities. The program has grown rapidly and now covers more than half of Medicare-eligible ...

The Alliance of Community Health Plans is calling out risk adjustment scores by larger insurers in Medicare Advantage plans. ACHP, an organization that advocates for smaller health plans, said the ...