Able Health Blog Complete guide to CMS-HCC risk scores (aka RAF scores and Medicare risk adjustment)

Medicare uses the CMS-HCC model to calculate risk scores that quantify and project the financial risk of each Medicare beneficiary. CMS uses risk scores created by the CMS-HCC model to adjust Medicare capitation payments to Medicare Advantage (MA) plans. With risk-adjusted payments, Medicare pays MA plans more money for patients with greater risk and less […]