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High line Public Schools Board Action ReportSupports the Strategic Plan DATE: July 2, 2019, FROM: Dr. Susan Enfield, Superintendent LEAD STAFF: Scott Logan, Chief Operations Officer and Rod Shaffer,

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What is hhs risk insurance?

HHS risk insurance refers to the risk adjustment program under the Affordable Care Act, which aims to protect health insurance plans from high-cost enrollees and ensure that they can compete fairly in the marketplace.

Who is required to file hhs risk insurance?

Health insurance issuers and managed care organizations that participate in a health insurance exchange are required to file HHS risk insurance data.

How to fill out hhs risk insurance?

To fill out HHS risk insurance, insurers must report their claims data, including diagnosis codes, to the CMS in the specified format by the deadlines provided by the agency.

What is the purpose of hhs risk insurance?

The purpose of HHS risk insurance is to provide payment stability to health plans and to promote competition among them by redistributing funds from plans with lower-risk members to those with higher-risk members.

What information must be reported on hhs risk insurance?

Insurers must report demographic data, claims data, and diagnosis codes related to the health status of enrollees in order to assess the risk levels of their members.

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