Becker's Healthcare July 25, 2024
Total risk adjustment payments in individual and small group insurance plans decreased slightly in 2023, according to new data from CMS.
The agency redistributed $10.3 billion in payments between insurers participating in the program in 2023, up from $9.24 billion in 2022, according to a CMS report published July 22. Though the overall value of payments increased, risk adjustment charges as a share of premiums decreased slightly from last year.
The risk adjustment program is designed to even out financial risk between payers with higher and lower-risk enrollees in each market....
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