Subcommittee Sends Comments to CMS on Risk Adjustment Methodology

April 22, 2016
The Risk Sharing Subcommittee sent a letter to the Centers for Medicare & Medicaid Services (CMS) with comments on its recent discussion paper, HHS-Operated Risk Adjustment Methodology, that addresses partial year enrollment, use of pharmacy data, use of a concurrent versus prospective model, high-risk enrollee pooling, recalibration of the model, and the transfer formula.