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 ...
While the Affordable Care Act's risk-adjustment program is intended to make the health insurance market more competitive and fair, some argue that the policy is actually having the opposite effect, ...
On October 4, 2024, the Department of Health and Human Services (HHS) published a proposed rule containing the 2026 HHS Notice of Benefit Payment Parameters and certain proposals related to the Basic ...
Risk adjustment payments correlated for 2014 correlated highly with reinsurance program payments, showing that risk adjustment payments were going to insurers with high-cost cases; Risk adjustment ...
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