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Minnesota's Hospital Moratorium Law House Health Finance and Policy Committee, Feb 22, 2022 Stefan Gildemeister| Director, Health Economics ProgramOverview Background Update on current activities
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How to fill out state-based risk adjustment in
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Gather all necessary information about the patient's health history, demographics, and diagnosis codes.
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Insurance providers who participate in state-based risk adjustment programs to accurately assess and adjust payments based on the health status of their member population.
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State-based risk adjustment is a process used to balance out the costs of caring for sicker enrollees among insurers.
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Insurers who offer health plans in the state are required to file state-based risk adjustment.
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Insurers must submit data on their enrollees' health status to calculate risk scores for each individual.
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The purpose of state-based risk adjustment is to ensure that insurers are compensated fairly for enrolling sicker individuals.
What information must be reported on state-based risk adjustment in?
Insurers must report data on their enrollees' diagnoses, prescriptions, and health history.
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