Risk Sharing Subcommittee

This subcommittee will address the risk-sharing provisions in PPACA (risk adjustment, reinsurance, risk corridors).

Staff liaison: Heather Jerbi

Chairperson(s): Barb Klever
Scott Allen
Bethany Axtman
Kristi Bohn
Ben Brandon
Stephen Butz
April Choi
Mick Diede
Kevin Dolsky
Gregory Fann
Andrew France
Michael Frank
Janis Frazer
James Gabriel
Annette James
Jinn-Feng Lin
Timothy Luedtke
Kevin Mahoney
Tom Messer
Linda Peach
Shaun Peterson
Steven Phillips
Mearl Platt
Timothy Robinson
Geoffrey Sandler
Roderick Turner
Cori Uccello
Jon Wander
Mark Wernicke
Russell Willard
Laurence Williams

Related Publications

Risk Sharing Subcommittee issue brief examining the risk adjustment program implemented under the Affordable Care Act (ACA) and the implications for the program under different potential changes to current insurance market rules. (May 10, 2017)
Risk Sharing Subcommittee and Premium Review Work Group letter to the U.S. Department of Health and Human Services (HHS) regarding the proposed rule for the 2018 benefit and payment parameters. The comments address proposed changes to the risk sharing mechanisms, market reforms, and rate review provisions. (October 06, 2016)
Risk Sharing Subcommittee letter to the Centers for Medicare & Medicaid Services (CMS) with comments on its recent discussion paper, HHS-Operated Risk Adjustment Methodology. The letter includes comments on partial year enrollment, use of pharmacy data, use of concurrent versus prospective model, high-risk enrollee pooling, recalibration of the model, and the transfer formula.  (April 22, 2016)
Risk Sharing Subcommittee letter to the U.S. Department of Health and Human Services (HHS) regarding the proposed rule on benefit and payment parameters for 2017. (December 20, 2015)
Risk Sharing Work Group letter to CCIIO on the methodology proposed to evaluate the sufficiency of EDGE server data. (May 08, 2015)
Risk Sharing Work Group letter to CMS with comments on the 2014 medical loss ratio (MLR) annual reporting form. (March 31, 2015)
Risk Sharing Work Group letter to the U.S. Department of Health and Human Services (HHS) in response to the proposed rule on benefit and payment parameters for 2016. (December 22, 2014)
Risk Sharing Work Group letter to CCIIO with comments on a proposed rule related to exchanges and market reforms for 2015, specifically addressing ACA risk-sharing mechanisms. (April 21, 2014)
Risk Sharing Work Group comments to HHS on the interim final rule implementing amendments to the Notice of Benefit and Payment Parameters final rule. (April 30, 2013)
Risk Sharing Work Group comments to CMS on proposed rule, Benefit and Payment Parameters for 2014, addressing payment methodologies and data collection for risk adjustment, reinsurance, and risk corridor mechanisms in the ACA. (December 31, 2012)