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Proposed 2023 Payment Rule, Part 3: Risk Adjustment Program
Health Affairs Forefront Link to more items from this source
[Guidance Overview]
Jan. 3, 2022

"The proposed risk adjustment user fee for 2023 is $0.22 per member per month, down slightly from the user fee of $0.25 per member per month from 2022. HHS estimates that it will cost about $60 million in benefit year 2023 to operate the risk adjustment program, the same as for 2022.... [T]he coefficients for 2023 will be based on a blend of separately solved coefficients from [2017, 2018 and 2019=]. HHS solicits comment on whether 2020 enrollee-level EDGE data should be included in recalibration for future years or not, given the effects of the COVID-19 pandemic."

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