From chaos to clarity: HCC 2026 and RADV CMS's new era of risk adjustment
October 29th at 12:00 PM CT
Summary
In 2026, the Centers for Medicare & Medicaid Services (CMS) will finalize the transition from the V24 to the V28 Hierarchical Condition Categories (HCC) model for Medicare Advantage plans. These updates will reshape risk adjustment and documentation requirements, while expanded Risk Adjustment Data Validation (RADV) audits increase both compliance and financial exposure for payers and providers.
Join IMO Health experts for a fireside chat exploring what HCC 2026 and expanded RADV audits mean for the industry. Learn how to prepare for the transition, minimize audit risk, and protect revenue – all while maintaining compliance and supporting quality patient care.
What you'll learn
Understand the key updates in the CMS-HCC V28 model and their implications for risk adjustment, documentation, and reimbursement.
Explore how expanded RADV audits affect payer and provider workflows, including common areas of clinical and coding vulnerability.
Gain practical strategies to strengthen compliance, protect revenue, and enhance audit readiness across payer and provider environments.
