Risk Adjustment: Specialized Expertise Required*

With the new administration in Washington settling in, expect the Affordable Care Act (ACA) to expand in scope and complexity with a renewed focus on value-based care payment models.

Photo Source: Milliman MedInsight


With the new administration in Washington settling in, expect the Affordable Care Act (ACA) to expand in scope and complexity with a renewed focus on value-based care payment models.


Pressures towards improved quality of care and cost sharing between providers and payers has intensified the spotlight on risk adjustment models. Selecting the right risk strategy requires proven expertise, understanding when to apply the most effective risk adjusters based on the latest Machine Learning models.


Without the right skills and technology, the predictive power and accuracy of your models may suffer and cost your organization significant risk-sharing dollars.