Risk adjustment: Overview and opportunity: Top 10 notable issues related to the federal risk adjuster

  • Print
  • Connect
  • Email
  • Facebook
  • Twitter
  • LinkedIn
  • Google+
By Mary Creten (van der Heijde) | 25 August 2015
The federal risk adjustment program is set up to transfer funds from payers with lower-risk individuals to those with higher-risk individuals. In effect, the risk transfer program aims to normalize for the impact of differences in health status between carriers in a particular market. While simple in premise, the actual administration of the risk adjuster is complicated.