2017 HHS Risk Adjustment Model Changes: Final Rule Impact

03/14/2016

On February 29th, the Department of Health and Human Services (“HHS”) released the Notice of Benefit and Payment Parameters for 2017 (“NBPP for 2017”) Final Rule. Though many items mentioned in the draft NBPP were deferred, a number of changes have been incorporated that will impact health plans’ risk adjustment results. The following is a summary of the major changes related to risk adjustment, potential impact to plans’ risk scores, and action items plans should take to prepare.

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