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Home   >   Resources   >   Impact Evaluation Medicare Advantage Transition from RAPS to EDS
White Paper:

Impact Evaluation Medicare Advantage Transition from RAPS to EDS

Final Report

As CMS is transitioning the calculation of Medicare Advantage (MA) plan risk scores from the Risk Adjustment Processing System (RAPS) to the Encounter Data System (EDS), this report presents the analysis of revised 2016 risk scores resulting from EDS, based on the recently released MAO-004 reports. The findings are the result of a research collaboration between Inovalon, Avalere and industry partners that puts in perspective how the shift from a RAPS-based risk adjustment factor to one that is calibrated using full encounter data may affect payment rates for your organization.

Learn how your organization can leverage the report findings to better understand the effect of transitioning from RAPS to the EDS submission format.

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