MiraMed: A Global Services Company
Vice President RA-HCC Strategy & Business Development
April 2016 — Present
Angela is developing and implementing a formal risk adjustment service line at MiraMed. that allows clients a markedly increased Per Member Per Month reimbursement rate paid to the health plans reflected in the HCC risk scores and RAF scores as prospectively calculated from the prior years' data. HCC coding isderived from demographic factors (age, gender, and institutionalized or community residing) and the health risk profile of the patient i.e. severity of illnesses (chronic conditions) and the utilization of resources required to treat a particular patient for a given year as documented by a CMS approved provider type in a face to face visit.