Special Needs Plans product brief - Scope for Special Needs Plans
A one-page overview of risk-adjustment payment reconciliation for D-SNPs, C-SNPs, I-SNPs, and other Special Needs Plans.

Open access publication
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This publication is freely available. No email address is required.
Open the PDFOctober 2026PDF1 page
What you’ll learn
- Member-level reconciliation across more than 70 CMS files
- Dual-status, Medicaid eligibility, institutional, and ESRD changes
- Overpayment and payment-leakage detection in both directions
- RADV-ready evidence with provider, population, and market context