As CMS-HCC V28 fully takes effect in 2026, healthcare organizations face a structural reset in risk scoring. Planning ...

On April 1 st, the Centers for Medicare & Medicaid Services (“CMS”) announced its Medicare Advantage (“MA”) Capitation Rates and Part C and Part D Payment Policies for Calendar Year (“CY”) 2025. This ...

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 ...

Among other provisions, the Rate Announcement includes the following updates: MA Payment Changes/Growth Rates: The effective growth rate for 2025 MA non-end-stage renal disease (ESRD) rates is 2.33%.

One of the most significant changes for 2024 is the introduction of version 28 of the Risk Adjustment Model, increasing the number of HCCs from 86 to 115, changing the name and numbering of HCCs, the ...

(MENAFN- EIN Presswire) EINPresswire / -- As 2026 begins, healthcare leaders are no longer preparing for CMS-HCC V28, they are now operating with it as the risk adjustment model governing performance ...

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 ...

Joint customers can improve coding accuracy, strengthen compliant submissions, and strengthen RAF integrity with Penguin Ai's HCC Coding & Risk Adjustment Snowflake Native App PALO ALTO, Calif., Jan.