How PACE programs can protect net margin in a fixed-revenue model
Each year, your capitation rates are fixed, but your participants’ clinical needs aren’t. Risk adjustment often lags behind them.
This gap between changing clinical reality and captured revenue is where net margin is won or lost.
The margin window guide offers an operating framework to help you spot where revenue opportunities are opening and closing.
Get the guide
Use this guide to:
- Identify the operational gaps that limit risk adjustment performance
- Assess your margin protection maturity against real scenarios
- Prioritize the operational changes with the greatest impact on net margin
- Apply proven strategies to capture clinical changes before the window closes
