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Accountable Care Organizations (ACOs)
Actuarial Value
Consumer Operated and Oriented Plan Programs (CO-OPs)
Early Retiree Reinsurance Program
Exchanges
Grandfathering Provisions
Medical Loss Ratio Reporting and Rebates
Medicare
Near-term Benefit and Eligibility Changes
Premium Review
Risk Adjustment, Reinsurance and Risk Corridors
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Risk Adjustment, Reinsurance and Risk Corridors

Comment Letter on Benefit and Payment Parameters Proposed Rule
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)
Research Brief: Design and Implementation Considerations of ACA Risk-Mitigation Programs
Joint Academy/SOA research brief on risk-mitigation programs under the Affordable Care Act appear to reduce financial risks to health plans but overly restrictive limitations on premium rate increases can lead to high federal risk-corridor payments. (June 4, 2012)
Comment Letter on Proposed Rule Related to Reinsurance, Risk Corridors, and Risk Adjustment
Risk Sharing Work Group comments to the Centers for Medicare and Medicaid Services (CMS) on the proposed rule implementing the risk-spreading mechanisms included in the Affordable Care Act (ACA) and related to reinsurance, risk corridors, and risk adjustment. (October 28, 2011)
Risk Adjustment and Other Risk-Sharing Provisions in the Affordable Care Act
Risk Sharing Work Group issue brief providing an overview of the various risk-sharing mechanisms in the ACA and the risks each mechanism can mitigate. (June 1, 2011)
Letter to HHS on ACA Reinsurance Provision
Risk Sharing Work Group letter to HHS regarding the ACA reinsurance provision that references the Academy. The letter includes initial input on potential approaches for identifying high-risk individuals and determining reinsurance payments. (September 22, 2010)
Risk Assessment and Risk Adjustment
Health Practice Council issue brief providing an overview of risk adjustment and outlining general considerations for implementing a risk adjustment mechanism under PPACA. (May 1, 2010)

Source URL: http://www.actuary.org/site-section/public-policy/health/compass-Risk-Adjustment