The 2.1% Medicare fee-for-service (FFS) 2016 medical risk score trend was the primary driver behind the increase in the Part C FFS normalization factor proposed in the 2018 Advance Notice.
Milliman’s Darcy Allen, Karin Cross, and Robert Pipich conducted a risk score trend analysis, which is consistent with the trend in the Advance Notice. They also identified the six Hierarchical Condition Category (HCC) contributors shown in Figure 2 as the key drivers of the 2016 risk score trend. For more perspective, read their article “What’s driving the high risk score trend in the 2018 Advance Notice?”
An op-ed by the dean of the NYU Dental School asked that dental care not be left out of healthcare reform. Dental care is often overlooked (kind of like flossing), but it does have larger health implications than just what goes on in your mouth.
A recent white paper by Darcy Allen, George Berry, and Rob Pipich outlines the case for integrating dental care as part of the larger view of a patient’s health. While some insurers have started to recognize the symbiotic relationship between dental health and general medical health, few have taken advantage of it. Regardless of merit, dental health is perhaps a longshot as a healthcare reform priority.