Articles
A Python User's Guide to Running the CMS-HCC Risk Adjustment Model
Learn how you can use Python to integrate the CMS-HCC software into your risk adjustment pipeline.
Nov. 4, 2024
Calculating MA Payments from CMS-HCC with MScore®
Understanding how to process raw risk scores to MA Payments
Nov. 1, 2024
2024 Risk Adjustment Simplified: How to Normalize and Coding Pattern Adjust with MScore®
Learn how to normalize and coding pattern adjust your 2024 risk scores with MScore® and Python
Oct. 21, 2024
Three Steps to Visualizing Your CMS-HCC Risk Scores with MScore® & Python
This article provides a guide to using MScore® via Python Package Management (PyPI) for running the CMS-HCC risk adjustment model, offering a SAS®-free, cross-platform solution for Medicare Advantage plans.
Oct. 7, 2024
Risk Score Calculations for Medicare Advantage: A Guide to the 2025 CMS-HCC Model Phase-In
In CY 2024, the blending of V24 and V28 model risk scores was introduced, impacting how final risk scores are calculated for Medicare Advantage beneficiaries. This article will explore the process of running MScore® to apply the normalization factor and coding pattern adjustment factor to raw scores, followed by blending CMS-HCC models V24 and V28, using the CY 2025 model recently released by CMS.
Sept. 5, 2024
Reduce Your Audit Risk: Utilizing the HHS-OIG Toolkit for High-Risk Diagnosis Codes
Discover how the toolkit empowers MA plans to improve the validity of diagnosis submissions with targeted actions.
Aug. 12, 2024
Top 5 Challenges in Risk Adjustment: Insights from Industry Leaders
Explore key insights from industry leaders on the top five challenges in risk adjustment and strategies to address them effectively.
Jan. 10, 2024