All content for Regulatory Joe is the property of ClearFile and is served directly from their servers
with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Navigating Risk Adjustment in 2025: A Guide for Health Plans
Regulatory Joe
9 minutes
9 months ago
Navigating Risk Adjustment in 2025: A Guide for Health Plans
Join Joe Boyle, President of Regulatory Solutions at Penstock, as he breaks down CMS’s risk adjustment and user fee updates for benefit year 2025. This episode is your go-to guide for navigating the evolving regulatory landscape.
Here’s What You’ll Learn:
How CMS’s use of 2019–2021 data impacts 2025 submissions
The role of the American Rescue Plan in shaping membership trends and user fees
Key strategies for issuers entering new markets
Tips for compliance when serving AI/AN populations
Why predictive modeling is the future of risk adjustment
Whether you’re an established issuer or entering a new market, this episode is packed with actionable insights and practical recommendations to help you stay compliant, optimize processes, and prepare for the future of risk adjustment.
🎧 Listen now and make sure your team is ready for the 2025 submission season. Subscribe to Regulatory Joe for updates on regulatory filing for health plans, compliance tips, and more.