ACA risk scores increased by nearly 6% due to supplemental claims in the ACA individual market. This translates to roughly $3,000,000 ($30 PMPM) for a 10,000 member population.
The 6% also represents a steady increase in supplemental claims impact and doubles the 2019 impact. Issuers should review and benchmark their data against the industry to assess their risk scores and potential opportunities and gaps.
