Review of CMS Proposed 2018 Risk Adjustment Changes to CSR Plans

Wakely reviewed CMS’ proposed 2018 risk adjustment changes to cost-sharing reduction (CSR) plans and modeled the impact of the changes based on collected 2016 data. Our modeling with national data shows that relative risk will decrease around 10% for the 87% and 94% CSR plans while all other plans’ relative risk will increase at varying levels to offset the changes to CSR plans. 

 

Review our methodology and conclusions:

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