Contextualizing new estimates of coding intensity in Medicare advantage and opportunities for further research
Abstract
In this piece, we provide context for new estimates of coding intensity in Medicare advantage (MA) and highlight how researchers can build on them to inform ongoing policy debates. In particular, we identify opportunities to study how insurer responses may affect the intended goals of the Center for Medicare and Medicaid Services's (CMS) recently introduced risk adjustment model, as well as how potential changes in insurer payments may influence plan design.
Fields of Study & Subjects
Healthcare Policy and Management
Medical Coding and Health Information
Healthcare Systems and Reforms
Publication details
- Journal / source
- Health Affairs Scholar
- Volume
- 4
- Issue
- 1
- Pages
- qxag011–qxag011
- Publication date
- 1 January 2026
- Language
- EN