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Risk Adjustment and Reinsurance under the ACA New York State Recommendations

May 11, 2012

This report provides recommendations for New York's approach to addressing the ACA's risk adjustment and reinsurance requirements and implementing these programs. Risk adjustment is the method of adjusting premium rates for differences in underlying morbidity of a health plan's membership. Reinsurance describes methods for protecting health plans against high cost individuals.

Resource Type: 
Reports & Research