Fact Sheet: Health Risk Assessments in Medicare Advantage

HRAs are a part of Medicare Advantage’s care coordination model; allowing Medicare Advantage plans to collect information on beneficiaries’ health statuses and other related factors to address gaps in care and social risk factors.

There are two primary ways to administer HRAs: during a comprehensive in-home clinical visit, or via a survey administered by a qualified health professional.

This fact sheet explains more.

Report

Avalere Health Report: “Overview of the CY 2024 Advance Notice” February 9, 2023

A new report by Avalere examines the Centers for Medicare and Medicaid Services’ (CMS) Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage Capitation Rates and Part C and Part D…

Rate Notice

Risk Adjustment

Payment

Fact Sheet

Fact Sheet: Summary of CY 2024 Medicare Advantage and Part D Advance Notice February 9, 2023

In this fact sheet, Better Medicare Alliance provides a summary of the Centers for Medicare and Medicaid Services' (CMS) Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage Capitation Rates and…

Rate Notice

Risk Adjustment

Payment

Issue Brief

Avalere Insight: Overview and Implications of CMS’s Proposed Changes to MA RADV August 23, 2022

This analysis from Avalere Health examines proposed changes to the Risk Adjustment Data Validation (RADV) process and the impact on Medicare Advantage plans and enrollees.

Risk Adjustment