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June 13, 2023    

Medicare Advantage Risk Adjustment Toolkit

This Toolkit is brought to you by AHLA's Payers, Plans, and Managed Care Practice Group.
  • June 13, 2023

Risk adjustment is a risk mitigation tool that attempts to offset the cost of covering enrollees with greater health risk, and in turn, medical spending. In short, it is meant to level the playing field so that health plans compete against each other on price and quality while also disincentivizing adverse selection. Risk adjustment is used in the commercial market, Medicare, and Medicaid.

AHLA's Payers, Plans, and Managed Care Practice Group is pleased to offer a toolkit that includes information on risk adjustment cases since 2009. It is updated on a quarterly basis.


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