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A surge of new Medicare Advantage (MA) enrollees, if not accounted for in benefit design or managed proactively, can significantly depress a health plan’s average risk adjustment factor (RAF) score. A recent Cotiviti analysis comparing aged versus new enrollee risk scores shows that fully mature, risk-adjusted members of your population can have up to 40% higher RAF scores on average.
Watch our on-demand RISE webinar as Cotiviti senior leaders discuss how analytics, prospective risk adjustment, and the right member engagement campaigns can effectively smooth RAF scores when managing an influx of new enrollees. You’ll learn how to:
- Estimate new enrollee impact on average RAF score
- Leverage analytics, prospective health assessments, and member engagement campaigns to create a timely and more holistic view of a new enrollee’s health status
- Improve documentation and coding of chronic conditions for staying members