Risk adjustment: Overview and opportunity: Top 10 notable issues related to the federal risk adjuster
25 August 2015
The federal risk adjustment program is set up to transfer funds from payers with lower-risk individuals to those with higher-risk individuals. In effect, the risk transfer program aims to normalize for the impact of differences in health status between carriers in a particular market. While simple in premise, the actual administration of the risk adjuster is complicated.
About the Author(s)
Risk adjustment: Overview and opportunity: Top 10 notable issues related to the federal risk adjuster
This paper discusses how the federal risk adjustment transfer system works as well as the top 10 considerations when developing a risk adjustment strategy.
Mary Creten (van der Heijde)