ACA HCC Recapture Rate Study

Risk adjustment plays a critical role in the operations and profitability of ACA health plans. Therefore, health plans’ ability to accurately capture and recapture HCCs is critical to financial success. HCC recapture rates is one window into the performance of a health plans’ risk adjustment performance. This study provides HCC and RxC recapture rates for participating health plans and the study-wide benchmarks at key drill downs such as year, region, and metal tier.

2023 ACA HCC Recapture Study

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