Risk adjustment
programs under real execution pressure
Risk adjustment is now judged as defensible vs. exposed revenue—not simply captured vs. uncaptured.
Engagement structure
Program Stability Diagnostic
A structured diagnostic to identify variance, execution gaps, and audit exposure across the risk adjustment program.
Risk Adjustment Program Counsel
Ongoing senior oversight to support program integrity, decision-making, and execution alignment.
Audit and Response Support
Targeted support for audit response, regulatory inquiries, and execution recovery under active pressure.
Who this is for
For health plan leaders responsible for risk adjustment performance, audit readiness, and revenue integrity under real operating pressure.
CFO and finance leadership
When risk adjustment shifts from a coding issue to a revenue integrity and defensibility problem.
Compliance and audit leadership
When RADV, HHS-RADV, or related scrutiny creates material exposure and requires a stronger response posture.
Risk adjustment leadership
When the program needs senior oversight, decision support, or continuity during transition, instability, or first-cycle execution.
Provider-sponsored and multi-program plans
When risk adjustment spans Medicare Advantage, Medicaid, and ACA and requires coordinated program-level governance.
Why Gentry Consulting
Senior-led, operator-driven risk adjustment advisory
built on production experience-not theory.
30-year managed care operator
Experience across Medicare Advantage, Medicaid, and ACA working inside real production environments.
Operational ownership of programs reviewing 100,000+ charts annually across multiple plans.
Risk adjustment programs at scale
Delivered through programs that align coded data to clinical documentation and produce defensible revenue.
Multi-million-dollar risk adjustment recoveries
A complete track record of successful MA contract application support for plan stand-up and expansion.
100% CMS Medicare Advantage application approval rate
Start with a Program Stability Diagnostic
A structured 4–6 week review to identify variance, execution gaps, and audit exposure—and define a clear stabilization path.
Initial discussions are senior-led and focused on fit, scope, and timing.