CY2027 Medicare Advantage Risk Adjustment Briefing
The rate moved. Unlinked chart reviews are out. Your operational response starts here.
Most organizations are still figuring out their unlinked CRR exposure. A few are already modeling the revenue impact and adjusting their bid assumptions. This briefing is what separates the two — a direct operational read on the Final Rule and Rate Announcement, written for the teams who have to move first.
What’s Inside
What drove the swing from +0.09% to +2.48%, and why this is a window, not a reprieve.
Exposure quantified, revenue impact mapped, and operational response outlined across EDI, claims, and vendor infrastructure.
How CMS’s expanded data access connects to audit readiness strategy and coding accuracy infrastructure.
What changed and how to remodel the Stars portfolio under the new 30-measure set.
A phased implementation plan covering unlinked CRR remediation before June 1, encounter-based HCC documentation, second-level coding, policy and procedure overhaul, and RADV-durable systems through 2027 and beyond.
23 years. Every dimension. One through line.
ATTAC has helped clients navigate RADV audits, built risk adjustment programs from the ground up, structured compliance frameworks, and enhanced plan operational efficiency across Medicare Advantage organizations of every size and complexity.
Validira, our risk adjustment division, was built by risk adjustment experts and auditors who know exactly what a CMS reviewer looks for — and that perspective shapes every engagement. From second-level coding to active Con-RADV and HHS-RADV audit support, Validira applies a defense-first methodology to every engagement.
AI tools can summarize a 731-page Final Rule. They can’t audit your unlinked CRR usage, model the revenue impact, or identify where diagnoses are falling off in your data pipeline. That’s the work. That’s what we do.
The risk adjustment experts behind this briefing.
- Former VP of Risk Adjustment, Stars & Quality at major health plans
- 20+ years leading RA teams and outcomes
- Former Director & Health Plan RA Leader at Molina Healthcare and CareSource
- Expert in all aspects of Risk Adjustment across MA, ACA, and Medicaid
- 9+ years leading Validira’s RADV audit operations across MA RADV and ACA HHS-RADV
- Oversees all audit support activities
- 6 years leading Validira RADV audit management and coding engagements
- Provides high-touch service from setup through reporting
- 19 years Medicare, ACA and Medicaid Risk Adjustment coding and leadership
- CPC, CPC-P, CPMA, CRC, CPC-I certified
- Expert in encounter submissions, risk adjustment analytics, and RADV
- Designs and refines prospective and retrospective programs to maximize ROI
Every Friday from April 24 – May 8, we’re hosting informal lunch and learn sessions on risk adjustment, compliance, and Stars & Quality. No formal decks. Just expert insights and open discussion.
- Friday, April 24Risk AdjustmentRegister →
- Friday, May 1Compliance & Part DRegister →
- Friday, May 8Stars & QualityRegister →