Risk adjustment puts the primary care physician back in the driver’s seat. It aligns the needs of the patients with the providers and the payers. Unlike the status quo fee for service model where physicians are paid to see as many patients as possible, risk adjusted plans incentivize physicians to find all of the patient’s illnesses, manage and treat their conditions, and keep them out of the hospital.
If you pay for volume, volume will increase, but if you pay for quality, the quality improves and everyone wins. MARSI helps align the goals of plans, providers, and patients. The results are better patient outcomes, increased defensible revenue, and reduced compliance risk.