Risk Adjustment
Medicare Glossary
A process Medicare uses to adjust payments to Medicare Advantage plans based on the health status of their enrolled members. Plans receive higher payments for sicker patients and lower payments for healthier ones, helping to ensure fair compensation across plans.
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This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.