COVID-19 will impact risk score factors for MA plans in 2021 and cause them to get paid less for their enrollees than projected. There could be an industry wide impact on overall profitability unless plans capitalize on powerful Risk Adjustment tools. Solutions, such as Babel Health’s integrated RA tool, will play a significant role in helping plans maximize what does make it to/through their claim processing.
With Babel Health, Highmark can work through RAPS and EDPS encounter submissions on the same platform. This eliminates the need for two systems with duplicate data.
The March 30 memo from Centers for Medicare & [...]
From Health IT Answers (formerly RCM Answers) — 1/27/2020: [...]
Babel Health will be a silver [...]
From Modern Healthcare — 01/06/2020: CMS wants to [...]
From Healthcare Dive — 01/03/2020: In win for [...]