Below are links to three new papers on risk adjustment in the ACA Marketplaces. I have not read them in full, but intend to. This is an area I’ve found hard to get clarity on for some time. I hope these papers fill the void.
- Affordable Care Act Risk Adjustment: Overview, Context, and Challenges
- The HHS-HCC Risk Adjustment Model for Individual and Small Group Markets under the Affordable Care Act
- Risk Transfer Formula for Individual and Small Group Markets Under the Affordable Care Act
At the links, you can download the papers. They’re ungated. (Your tax dollars at work.)