Medicare Risk adjustment:
Risk adjustment is one of the best ways which is a savior in reducing the costs of providing the health insurance for the people with chronic health issues, who in general pose a higher risk to the insurers. The main objective of the risk adjustment is that it makes the insurance available to all kinds of people, irrespective of the illness that they have and to ensure that all the individuals are to pay similar average premiums.
The Risk adjustment policy was first enacted under the act called the affordable Care Act. And it very budget neutral. Thereby enabling the people suffering with all sorts of illness to pay an appropriate amount of premiums. The risk adjustment uses the demographic data (i.e age, sex, etc.)of a person to determine the a score called the risk score. The Risk score is simply the measure of the probable costs which is available to insure the individual.
So what does Promed do?
Promed”s Medicare Risk adjustment method involves the risk adjustment Factor (RAF) of the individual which enable us to add up the costs or the bills for an individual. The eminent coders at the Promed are highly efficient because they take into account of the various factors such as the risk score, the treatments that the individual underwent and his/her chronic conditions and etc, in order to procure high reimbursements. Thereby, establishing the fact that Promed is the finest for the risk adjustment plans.