CMS-HCC •70diseasecategories(chronic) •3,100diagnoses •“PredictiveModel” –2004paymentbasedonCY2003encounter data •Ifnoencounterdatasubmittedin2004= minimumpaymentforthatmemberin 2005 What’stheBigDeal? •RiskAdjustedportionofthepremiumisincreasingto 100% •Physiciandata=80%ofthedatasubmitte...