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Ethics, Risk Adjustment, and a Turning Point for Medicare Advantage

The recent settlement between Kaiser Permanente and the federal government marks a pivotal moment in the ongoing debate over risk-adjustment practices in Medicare Advantage (MA) and the Patient Protection and Affordable Care Act (PPACA). At the center of the case are experienced health information management (HIM) professionals whose actions underscore the ethical responsibilities inherent in clinical documentation and coding. The settlement res…

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MedLearn Publishing broke the news in on Monday, February 2, 2026.
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