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Final 2023 Payment Rule, Part 3: Risk Adjustment Program
Health Affairs Forefront
[Guidance Overview] May 4, 2022 "[C]hanges to the risk adjustment program [include] finalizing two of the three proposed updates to the risk adjustment models, a requirement that insurers collect certain data (including enrollee data on race and ethnicity), changes to the risk adjustment data validation (RADV) process, and tweaks to the recoupment of high-cost risk pool funds.... HHS also issued updated guidance on when telehealth and telephone services can be submitted for purposes of the risk adjustment program." MORE >> |
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