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Interim Summary Report on Individual and Small Group Market Risk Adjustment for the 2024 Benefit Year (PDF)
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
Mar. 14, 2025

12 pages. "This interim summary report on risk adjustment is based on issuers submitting at least 90% of three quarters of claims data and 90% of enrollment data for the 2024 benefit year. In the 2018 benefit year, HHS introduced the high-cost risk pool (HCRP) ... As in previous interim reports, HCRP interim estimates are not included because we expect that many issuers will submit their more expensive and complicated claims towards the end of the data submission period." [Also available: Appendix A: Interim 2024 Benefit Year Risk Adjustment State Averages with State Billable Member Months (XLSX) and Appendix B: Interim 2024 Benefit Year Risk Adjustment Geographic Cost Factor (GCF) (XLSX)]  MORE >>

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