Risk adjustment & RADV

Risk adjustment applications in commercial large group health insurance

Independence Blue Cross Agrees to Pay $22.5 Million to Resolve Medicare Advantage Risk Adjustment False Claims Act Case: “Additions” Without “Deletions”

Independence Blue Cross (IBX) has agreed to pay $22.5 million to the United States to resolve a whistleblower lawsuit, United States ex rel. Crawford v. Independence Blue Cross, No. 20-cv-5818 (E.D. Pa.), concerning the risk adjustment data it submitted to…