In response to criticism from some health insurers, federal regulators are considering some changes to the Affordable Care Act's risk adjustment program starting in 2018. The Centers for Medicare & ...

Managers of the ACA CO-OPs that survived in 2017 have argued that the risk-adjustment program rules discriminate against smaller, newer, cheaper plans. Ongoing problems with the Affordable Care Act ...

For health plans serving the individual market, the Affordable Care Act’s risk adjustment program generally worked as intended to shift funds from insurers with low-cost enrollees to plans with ...

In its first year, the Affordable Care Act's risk adjustment program helped control costs for insurance companies with high-risk enrollees, but several modifications could improve the program's ...

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To maximize shared savings, mastering risk adjustment is a critical factor for Accountable Care Organizations (ACOs) participating in MSSP, ACO REACH, and other alternative payment models.

HHS sets the risk adjustment methodology that it uses in states that elect not to operate the program in advance of each benefit year through a notice-and-comment rulemaking process with the intention ...