Advanced Reading

Annotated Reading List (Click here to start)

  1. A clear overview of risk assessment and risk adjustment created by Society of Actuaries. Though the document is dated the brief remains relevant.
  2. A dated (2019) analysis of HCC prevalence in Medicare Advantage program. It helps to know relative prevalence of HCCs that can help organizations set expectations, consider benchmarking process.
  3. Duke University's Margolis Center white paper highlights some issues and potential solutions to risk adjustment in CMS programs. You will see some themes highlighted throughout lectures.


SOA Issue Brief_Risk_Assesment_and_Adjustment_May2010.pdf
Avalere HCC prevalence.pdf
Margolis Future Risk Adjustment Paper Duke.pdf
Complete and Continue