Despite some complaints about the risk adjustment program, it would be unfair and detrimental to give any insurer a "free pass" to get out of participating in it, argues a recent Health Affairs blog ...
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 ...
Financial struggles at Bright Health Group and Friday Health Plans have raised concerns about how well the Affordable Care Act's (ACA's) risk adjustment program is working, especially whether it's ...
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Insurance co-op New Mexico Health Connections won a partial victory in its lawsuit against the federal government over the Affordable Care Act's risk-adjustment program. U.S. District Judge James ...
Commercial health plan initiation of a co-pay accumulator adjustment program for specialty medications treating autoimmune diseases was associated with significant reductions in medication adherence ...
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