decoding the latest wave of commercial risk adjustment rule changes

As a Qualified Health Plan (QHP) on the Health Insurance Marketplace, you’ve likely had a difficult time over the last couple of years trying to decipher the rules about risk adjustment data submission. And now the rules and playing field for the 2017 benefit year are changing again per the Centers for Medicare & Medicaid Services (CMS). Where’s your secret decoder ring when you need it? Well, you can put your cereal box tops away, because we’ve got you covered.

Download this asset to better understand the impact of:

  • Updates to reinsurance
  • The use of multiple years of data
  • The incorporation of preventive services
  • Inclusion of partial year enrollees
  • And more

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