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3M℠ Risk Optimization Services

3M Product Number 
  • Capture the true risk of your member population so that you receive full reimbursement opportunity under the Affordable Care Act
  • Gain insight to provider group’s performance with respect to its Hierarchical Condition Categories (HCC) activity
  • Identify the potential impact improved coding can have on overall population risk score
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Specifications
Attribute Name
Value
Help Me With
Population Health Management
Organization Type
Government, Payer, Provider
Role
Clinical, Financial, Quality
Product Details
  • Capture the true risk of your member population so that you receive full reimbursement opportunity under the Affordable Care Act
  • Gain insight to provider group’s performance with respect to its Hierarchical Condition Categories (HCC) activity
  • Identify the potential impact improved coding can have on overall population risk score

3M Risk Optimization Services can help plans on the exchanges receive full potential reimbursement under the payment transfer reconciliation as part of the Affordable Care Act (ACA).

3M Risk Optimization Services give plans the ability to perform ongoing identification and management of both network and member opportunities. Through a member-level grouping process that simulates the risk adjustment methodology mandated by Health and Human Services (HHS), 3M analytics and reports enable exchange-eligible plans to understand and capture the true risk of their member population. This allows them to receive complete and accurate reimbursement at the time of the payment transfer reconciliation.

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