{"id":24133,"date":"2025-03-14T10:20:19","date_gmt":"2025-03-14T14:20:19","guid":{"rendered":"https:\/\/medicarereport.org\/?p=24133"},"modified":"2025-03-14T10:20:21","modified_gmt":"2025-03-14T14:20:21","slug":"bridging-the-medicare-risk-gap-how-ai-can-enhance-coding-accuracy-and-equity","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=24133","title":{"rendered":"Bridging The Medicare Risk Gap: How AI Can Enhance Coding Accuracy And Equity"},"content":{"rendered":"\n<p>By Michael S. Barr, Tony Zhou for HealthAffairs on March 13, 2025<\/p>\n\n\n\n<p>As Medicare payment models evolve, reconciling differences in coding intensity between Medicare Advantage (MA) and traditional Medicare (TM) is a persistent challenge. High coding intensity in MA and under coding in TM\u2014often due to resource constraints and limited incentives\u2014creates a risk gap that distorts payments and resource allocation and affects patient care. <a href=\"https:\/\/www.healthaffairs.org\/content\/forefront\/bridging-medicare-risk-gap-ai-can-enhance-coding-accuracy-and-equity\">Here&#8230;<\/a><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"100\" class=\"wp-image-13869\" style=\"width: 150px;\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_.jpg\" alt=\"\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_.jpg 2121w, https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_-300x200.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_-768x512.jpg 768w, https:\/\/medicarereport.org\/wp-content\/uploads\/2019\/08\/dreamstime_m_59080374health-care-reformID-59080374-\u00a9-Kritchanut-Dreamstime.com_-1024x683.jpg 1024w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/p>\n\n\n\n<p class=\"has-small-font-size\"><strong>Notice:<\/strong>\u00a0The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Michael S. Barr, Tony Zhou for HealthAffairs on March 13, 2025 As Medicare payment models evolve, reconciling differences in<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23,32,1248,6,9],"tags":[153,1721,61,62],"class_list":["post-24133","post","type-post","status-publish","format-standard","hentry","category-artificial-intelligence","category-cms","category-digital-technology","category-medicare-general","category-medicare-advantage","tag-ai","tag-medical-coding","tag-medicare","tag-medicare-advantage"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/24133","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24133"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/24133\/revisions"}],"predecessor-version":[{"id":24134,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/24133\/revisions\/24134"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24133"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24133"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}