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An Analysis of the HHS-Operated Risk Adjustment Technical Paper on Possible Model Changes (PDF)
Wakely Consulting Group
Nov. 22, 2021 "At the national level, ... receivers are likely to receive less risk transfers while payers are likely to pay less risk transfers.... Results were different in the individual market compared to small group market.... [R]isk score components for medical condition categories (HCC), prescription drug condition categories (RXC), and enrollment duration factors (EDF) decreased." [See also HHS-Operated Risk Adjustment Technical Paper on Possible Model Changes, Oct. 26, 2021] MORE >> |
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