Finally Know Which Medicare Advantage Risk Adjustment Data Source Answers Which Question
Side-by-side comparison of FFS Claims, RAPS, and MA Encounter Data
What each source measures — and what question it was built to answer
How deletion rules, filters, and reports differ across all three data sources
Get the free one-page comparison cheat sheet that maps FFS Claims Data, RAPS, and MA Encounter Data side by side — so you always know which source affects your Medicare Advantage Risk Adjustment payments.
Prince Baawuah, DrPH, MPH, CSM®, spent 8 years inside CMS Plan Payment and ED&RA Operations, sitting on the other side of the table while more than $250 billion in annual Medicare Advantage payments moved through the system.
He trained health plans, translated policy into operations and operations into policy, provided analytics and technical guidance, and went on site visits — watching firsthand what plans understood, what they missed, and where the gaps were.
This cheat sheet is built from that vantage point.
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