Jessica Magana is the Product Manager of Lightbeam Health Solutions, a population health management company. Jessica shines a light on the biggest changes coming from CMS in risk adjustment for Medicare Advantage in 2022. Organizations need to understand the technical requirements behind the way diagnosed base risk scores will be calculated and the impact of delayed healthcare due to COVID-19.
Jessica explains, "Lightbeam is a platform that facilitates end-to-end population health management for our ACOs, payers, provider groups, health systems, and some other healthcare organizations. Just some highlights about the platform and what it provides are provider alignment, tools for engagement, and satisfaction rates. It allows for some two-way information sharing. It has been proven to lower utilization rates and improve risk and coding opportunities; it also helps to improve quality scores for HEDIS and Star measures."
"Another important change that I think is very important is around some of the quality bonus program changes. Due to COVID-19, a public health emergency has been awarded. CMS is now promoting some new changes that are going to impact some of those Star ratings."