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Text of HHS-Developed Risk Adjustment Model Algorithm 'Do It Yourself' Software Instructions for the 2019 Benefit Year (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] 
[Official Guidance] Jan. 20, 2020 25 pages; updated Jan. 17, 2020. "The 2019 benefit year risk adjustment model was recalibrated ... Additionally, [CMS] removed two severity-only drug classes from the 2019 benefit year risk adjustment models ... The high-cost risk pool calculation incorporated into the HHS risk adjustment methodology beginning for the 2018 benefit year continued for the 2019 benefit year." [Also available: Technical Details (XLSX) and 2019 Benefit Year Risk Adjustment SAS Version of HHS-Development Risk Adjustment Model Algorithm Software (ZIP)] MORE >> |
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