Why Your Retrospective Risk Adjustment Strategy Is Stuck in 2019 (And Your Competition Isn’t)
A health plan executive recently told me something that stopped me cold: “We’re really proud of our retrospective review process. We’ve been doing it the same way since 2019, and it’s proven.” Same way since 2019. In an industry where regulations shift monthly and technology advances weekly. That’s not proven. That’s fossilized. The brutal truth…