Advanced Reading
Annotated Reading List (Click here to start)
- A clear overview of risk assessment and risk adjustment created by Society of Actuaries. Though the document is dated the brief remains relevant.
- 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.
- 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