Risk Adjustment (RA) FAQ
Guidance for FAQ regarding Risk Adjustment Operations and Reports
Program Area: Risk Adjustment (RA)
Question: What market-level information will the Centers for Medicare & Medicaid Services (CMS) include in the Risk Adjustment (RA) state payment transfer reports?
Answer: When CMS runs RA state payment transfer reports, CMS reports the state average premium, total billable member months, and state average risk score for each risk pool/market in a state, among other summary statistics.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 25, 2019
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