2019 HHS Risk Adjustment Data Validation (HHS-RADV) White Paper
Guidance for The purpose of white paper is to outline potential options to modify the HHS risk adjustment data validation methodology for enrollee sampling, amend the current process that determines whether an issuer is an outlier, alter the error rate calculation that determines outlier issuers’ risk score adjustments, and change the
benefit year application of HHS-RADV results.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 06, 2019
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