Risk adjustment capability brief - Every Risk Score. Fully Reconciled.

A concise, three-page look at how Falcon connects contract-aware risk-score calculation, payer and CMS reconciliation, recapture, and AI-supported suspect review.

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September 2026PDF3 pages

What you’ll learn

  • How Falcon calculates traceable member risk scores across payer contracts
  • How payer files, MAO-002, and MAO-004 reveal administrative gaps
  • How recapture and AI-supported suspecting become accountable work queues
  • How value-based care teams add payers without rebuilding their workflow

Continue with the companion story. Read the article