HCCs are used in Medicare Advantage Plans, which Part do they correspond to?

• A. Part C
• B. Part A
• C. Part B
• D. Part D

Answer: (A)

HCCs are used for risk adjustment in Medicare Advantage, which is Part C. They classify health conditions to estimate expected costs, and this risk score determines the capitation payments that MA plans receive to cover enrollees’ care. So HCCs align with Part C, not with Part A or Part B, and while Part D has its own risk-adjustment methods, the HCC approach is specifically tied to Medicare Advantage.