White paper

The APM’s Guide to Risk Adjustment Success

This guide is designed to be a foundational reference for ACOs participating in the Alternative Payment Model (APM) including an overview of the CMS HCC model and key factors/KPIs for risk adjustment success. It supports multiple CMS innovation models under APM that involved risk-based payment: Medicare Shared Savings Programs (MSSP), Next Generation ACOs (NGACO), and  Direct Contracting Entity (DCE).