Caution: Risk Adjustment Hurdles Facing Plans and Providers Under the Affordable Care Act

January 1, 2014 is fast approaching and regulators, payor organizations, providers, and many other interested parties are working to implement, operationalize, and participate in the state-based American Health Benefit Exchanges and Small Business Health Options Program (‘‘SHOP’’) Exchanges (the ‘‘Exchanges’’).

Many aspects of the Exchanges and the related programs created under the Patient Protection and Affordable Care Act (‘‘ACA’’) will present new challenges to the parties involved. In particular, the risk adjustment programs to be implemented in each state will present many challenges for health plans and providers.

Originally published in Health Insurance Report on 7/17/2013.

Please see full alert below for more information.

LOADING PDF: If there are any problems, click here to download the file.

Written by:


Mintz Levin - Health Law & Policy Matters on:

Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.
*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.