Over the past several years, I’ve helped dozens of health systems optimize their EHRs to be able to better manage clinical and financial risk in their ACOs. In the process, I’ve observed that many system executives don’t fully understand the risk-adjustment concepts that determine value-based payment under MSSP (or other Medicare programs). Often, their ACO strategies suffer—or completely stall—as a result.

If your organization is struggling with some of the mechanics, here is a primer to help get you up to speed.

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