CMS Seeks To Update Exchange Plan Risk Adjustment Validation Program

CMS on Friday (May 29) proposed changes to the risk adjustment data validation program for exchange plans (HHS-RADV) based on feedback the agency received from a recent white paper and other conversations with stakeholders. The agency proposes to update its error rate calculations and the way it applies HHS-RADV results . The error calculation rate is the methodology to determine adjustments to insurers’ risk scores. CMS says that in order to avoid making changes to risk adjustment transfers, the program...