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Taking the EDGE off: Minimize stress while maximizing ACA risk adjustment through EDGE server best practices15 August 2016 - By Alan Vandagriff and Jason Petroske - Article

This paper outlines action steps health plans should consider as part of their annual EDGE server submission cycle.

On second thought: Initial insights from year 2 of the ACA risk adjustment program10 August 2016 - By Frederick Busch and Jason Karcher and Jason Petroske and Kaitlin Fink - Article

The initial 2015 risk adjustment report shows the magnitude of the transfer payments continues to significantly affect the financial results of many issuers.

Sizing up ACA risk adjustment volatility: How the interplay between risk adjustment and issuer size influences profitability under the ACA15 June 2016 - By Alan Vandagriff and Jason Petroske and Kaitlin Fink and Nick Krienke - Article

This study explains how risk adjustment might influence profitability patterns in a typical year and whether those patterns change with the size of a health plan.

When adverse selection isn’t: Which members are likely to be profitable (or not) in markets regulated by the ACA17 December 2013 - By Jason Petroske and - Article

The nuances and interactions inherent in the 3Rs can generate impacts that turn traditional risk management practices upside down.


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