Tag: Risk

Running CMS Risk Adjustment Models via API with SAS Analytics Pro (Viya) on Azure

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In this third article, we will introduce an alternative approach that surfaces the CMS-HCC Risk Adjustment Model execution through SASPy integration to a Flask application. We will demonstrate how this integration allows a user to score an individual patient/member on-demand, using inputs to an interactive web form to execute the model score code, surfacing the resulting score to the user.

Running CMS Risk Adjustment Models via API with SAS Analytics Pro (Viya) on Azure was published on SAS Users.

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Running CMS-HCC Risk Adjustment models with SAS Analytics Pro on Viya

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The CMS-HCC Risk Adjustment models are used to reimburse Medicare Advantage plans based on the health status of the plans’ members. CMS-HCC Risk Adjustment is the practice of assigning a risk score based on demographics and diagnoses to an individual beneficiary of Medicare for the purpose of calculating an expected cost of care, relative to the average beneficiary. Accurate risk adjustment requires an accurate diagnostic profile of an individual on an annual basis, documenting diagnoses via submitted claims or within a provider’s medical record.

Running CMS-HCC Risk Adjustment models with SAS Analytics Pro on Viya was published on SAS Users.

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NOTE: Taking a Risk?

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A tweet by Manoj Kulwal (global product manager for SAS Enterprise GRC) a couple of weeks ago drew my attention to a Compliance Week article describing how the US Securities and Exchange Commision (SEC) had (for the first time) brought financial penalt…

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