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Description

Alterations in this enzyme lead to decrease phospholipid production and instability or poor production of cell membranes

HCC / Risk Adjustment (v28) Diabetes mellitus is among the most significant conditions in Medicare Advantage (MA) risk adjustment under CMS-HCC Model V28, which became fully operative for payment year 2026 (eliminating the 20242025 V24/V28 blend)

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For CY 2025, we have incorporated the available utilization data for two new specialties, Marriage and Family Therapist (MFT) and Mental Health Counselor (MHC), which we recognized effective January 1, 2024, in accordance with section 4121 of the CAA, 2023