What information is contained in the Model Output Report (MOR)?

The Model Output Report (MOR) is designed to provide specific insights related to risk adjustment and patient populations. It includes a collection of red flags that correspond to demographic and disease factors, which are essential for identifying patients who may require more intensive management or those who could potentially lead to increased healthcare costs. This information is crucial for healthcare providers because it helps them focus on high-risk patients and offers guidance on where to allocate resources effectively for better management of healthcare outcomes.

The red flags in the MOR serve as indicators for potential issues that may not be immediately apparent from standard data collection methods, allowing providers to address specific needs and align care strategies accordingly. This proactive approach contributes to improved patient care and optimizes health plan performance in risk-adjusted reimbursement environments.