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Press Release: MedHOK Delivers Solution for Health Plans Affected by Medicare Risk Adjustment Change

Software is able to replicate new risk adjustment calculations to ensure financial reconciliation and maximize revenue

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Press Release: MedHOK Delivers Solution for Health Plans Affected by Medicare Risk Adjustment Change

Software is able to replicate new risk adjustment calculations to ensure financial reconciliation and maximize revenue

TAMPA, FL – August 19, 2015 – MedHOK®, a pioneering software platform for health plans and other risk-bearing entities participating in government-sponsored programs, announced enhancements to its enrollment and financial reconciliation modules to help Medicare Advantage (MA) plans succeed in the transition to the new Risk Adjustment encounter process, recently announced by the Centers for Medicare and Medicaid Services (CMS). The enhancements will allow health plans to replicate the new risk adjustment process, providing for crucial visibility into factors affecting reimbursement and risk.

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About MedHOK

The industry’s only Unified Payer Platform, MedHOK’s member-centric SaaS platform provides everything you need to securely manage member medical and pharmaceutical care, achieve federal and state compliance, deliver superior quality care, and succeed in value-based healthcare. Covering the entire spectrum of care across Medicare, Medicaid, and Commercial lines of business, MedHOK’s one platform gives you total control.

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