CMS has issued an RFI to assist the Center in the identification of potential options or a set of solutions that can support Agency requirements for the Risk Adjustment program. CMS is seeking alternative solutions to the existing Risk Adjustment Suite of Systems (RASS) to create efficiencies in processing time, utilize modern infrastructure and technology such as cloud services, and provide predictive analytics for beneficiary risk scores based on business rules and drivers. This scope of work requires a large-scale, efficient approach to systems management; especially validation work that is informed by a careful, deliberate approach to continuous quality improvement efforts (e.g., improved efficiency in coding and processing that ensures accuracy in CMS’ payments allocated to its contracted organizations).
Responses due by September 5, 2018.
