…risk adjuster called the Hierarchical Condition Categories (HCC) risk adjuster. To the four demographic factors, CMS added 3,000 codes for diagnoses. The addition of all those codes greatly improved the…

…and the size of the coding intensity adjustment (the amount by which CMS reduced MA risk scores to account for coding intensity). For 2020, MA risk scores were 9.5 percent…

…a review that it had poor risk controls compared to its peers and was unable to even produce a weekly report of its securities portfolio. Beyond the interest rate risks,…

…and comprehensive, ACA-compliant plans. They also seek to protect the individual market risk pool from adverse selection and keep premiums stable. Risks For Consumers Numerous recent studies documented deceptive STLDI marketing practices…

…structurally embedded in new payment mechanisms, which unfairly advantages certain providers. These issues are magnified by Medicare’s current risk-adjustment approach, which doesn’t adequately account for all medical and social risk…

…tens of billions of disastrously bad bets on mortgage investments but may not have carefully hedged those bets or properly estimated its risk. OK this is simple, there is risk…

…other devices to split premiums or otherwise shift risk onto doctors and hospitals) was supported by evidence, and their solution posed obvious risks of harm to patients and doctors. The…

…own interest rate risk in real time. BlackRock’s consulting firm told the bank after a review that it had poor risk controls compared to its peers and was unable to even produce a…

…the agency “will not respond to the alleged mischaracterization of risk” and that, “in general, EPA agrees with how risk was communicated at the Salinas meeting.” Steri-Tech did not respond…

…pooling risk, but there are circumstances under which the system breaks down. Homeowners insurance works by grouping together a large number of properties and transferring the individual property risks to the…