John Murphy is the Principal of Risk Adjustment Consulting, a firm specializing in the development of strategies for excellence in the new healthcare payment models. He has extensive experience in revenue optimization and protection for plans and provider groups in the Medicare Advantage program.
He has spoken at national conferences on the risk models used by both Medicare Advantage and the Affordable Care Act as well as best practices for a Risk Adjustment Data Validation (RADV) audit. John also has over 15 years’ experience in the development and negotiations of complex performance based contracts.
John received both a bachelors and masters in Business Administration from University of Rhode Island – College of Business Administration. John blogs regularly for Libman Education on topics related to health risk adjustment, managed care contracting, medicare risk adjustment, and optimization of provider results in risk based contracts.