The HHS-HCC Risk Adjustment Model for Individual and Small

Description

Volume 4, Issue 3 of the Medicare and Medicaid Research Review includes three articles describing the Department of Health and Human Services (HHS) developed risk adjustment methodology under the Affordable Care Act (ACA). The ACA provides for a program of risk adjustment in the individual and small group markets using the HHS risk adjustment methodology, so as to compensate health insurance plans for differences in enrollee health mix so plan premiums reflect differences in scope of coverage and other plan factors, but not differences in health status. The methodology includes a risk adjustment model and a risk transfer formula. The article, Affordable Care Act Risk Adjustment - Overview, Context, and Challenges, describes the key program goal and issues in the HHS developed risk adjustment methodology and identifies key choices in how it responds to these issues, while The HHS-HCC Risk Adjustment Model for Individual and Small Group Markets under the Affordable Care Act, estimates differences in health risks taking into account the new population and scope of coverage. Risk Transfer Formula for Individual and Small Group Markets under the Affordable Care Act, describes how the transfer formula calculates balanced transfers intended to account for health risk differences while preserving permissible premium differences.

General Information

• This data is described at

  http://catalog.data.gov/dataset/the-hhs-hcc-risk-adjustment-model-for-individual-and-small Do you think this data is incorrect? Let us know

• This data is published by

  U.S. Department of Health & Human Services Do you think this data is incorrect? Let us know

Legal Information

• The rights statement is at

  http://catalog.data.gov/dataset/the-hhs-hcc-risk-adjustment-model-for-individual-and-small Do you think this data is incorrect? Let us know

• Outside the US, this data is available under

  Creative Commons CCZero Do you think this data is incorrect? Let us know

• There are

  yes, and the rights are all held by the same person or organisation Do you think this data is incorrect? Let us know

• The content is available under

  Creative Commons CCZero Do you think this data is incorrect? Let us know

• The rights statement includes data about

  its data licence Do you think this data is incorrect? Let us know

• This data contains

  no data about individuals Do you think this data is incorrect? Let us know

Practical Information

• The data appears in this collection

  http://catalog.data.gov/organization/hhs-gov Do you think this data is incorrect? Let us know

• The accuracy or relevance of this data will

  go out of date but it is timestamped Do you think this data is incorrect? Let us know

• The data is

  backed up offsite Do you think this data is incorrect? Let us know

Social Information

• The documentation includes machine-readable data for

  title Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  description Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  identifier Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  landing page Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  publisher Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  keyword(s) or tag(s) Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  release date Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  modification date Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  temporal coverage Do you think this data is incorrect? Let us know

• The documentation includes machine-readable data for

  language Do you think this data is incorrect? Let us know

• Find out how to contact someone about this data at

  http://catalog.data.gov/dataset/the-hhs-hcc-risk-adjustment-model-for-individual-and-small Do you think this data is incorrect? Let us know

• Find out how to suggest improvements to publication at

  http://www.data.gov/issue/?media_url=http://catalog.data.gov/dataset/the-hhs-hcc-risk-adjustment-model-for-individual-and-small Do you think this data is incorrect? Let us know