The HCC risk adjustment model is used to adjust the payments that are made for ________________ benefits that are offered by Medicare Advantage plans and PACE organizations.
A) Part B
B) Part C
C) Part A
D) both Part A and Part B

Question

Quizplus · Accepted Answer

The HCC (Hierarchical Condition Category) risk adjustment model is specifically used to adjust payments for Part C benefits offered by Medicare Advantage plans and PACE (Program of All-Inclusive Care for the Elderly) organizations. This model accounts for the health status and demographic characteristics of enrollees to ensure that payments are aligned with the expected costs.

The HCC Risk Adjustment Model Is Used to Adjust the Payments