Contact Freed

Complying with the Affordable Care Act’s Complex Risk Adjustment Requirements

A major health care system sought to transition from the Simplified to the Standard methodology for calculating its cost-sharing reduction (CSR) reconciliation reports. Starting in 2018, per the Centers for Medicare and Medicaid Services, which administers CSR reimbursements, all Qualified Health Plan insurers needed to exclusively use the Standard method and discontinue making Simplified calculations.

Newsletter Signup

Newsletter Signup

Sign up for our Freed Associates newsletter to receive insights, trend reports, and news that affects you.