The Best’s Special Report, titled, “Some Companies Struggle With Parity Within The ACA Risk Adjustment Program,” notes that the risk-adjustment program, one of the programs that make up the so-called “3Rs,” was designed to transfer funds to plans with higher risk enrollees and a greater propensity of adverse selection to those with lower risk and generally lesser utilization rates. The risk-adjustment model is predicated on the financial risk of the enrollees, which, per the methodology utilized by the
Also noted in the
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