Put together for danger adjustment in 2026

Accuracy has at all times been crucial for danger adjustment coding, and up to date coverage modifications and Technology tendencies will make precision extra vital than ever in 2026. The brand new Medicare Benefit RADV auditing technique introduced by the Facilities for Medicare & Medicaid Companies (CMS) is counting on enhanced Technology instruments like AI, seeking to expedite completion of 2018–2024 audits and start auditing all Medicare Benefit plans going ahead. Superior analytics will even grow to be key in figuring out the chance profiles of member populations and producing actionable insights amid evolving market circumstances.

With these and different modifications on the horizon, plans ought to guarantee their danger adjustment packages meet the best requirements of accuracy and compliance for the yr forward. 

Be part of me and Senior Product Director Amanda Liu for an upcoming webinar in partnership with RISE as we dive into key regulatory updates and rising coverage tendencies in 2026. We’ll discover well timed matters equivalent to the brand new CMS Medicare Benefit RADV technique, elevated documentation scrutiny, and updates to Reasonably priced Care Act (ACA) and Medicaid necessities.

Don’t miss this opportunity to learn to mix confirmed finest practices with revolutionary methods to strengthen compliance framework, harness Technology for better effectivity, and empower your groups to drive enhanced worth. For those who can’t attend the dwell webinar, you’ll want to register so we are able to ship you the on-demand recording.