Web Reference: Beginning with the 2018 benefit year and beyond, there are two new aspects to the HHS-operated risk adjustment program that can be appealed: risk adjustment data validation (RADV) results3 and the high-cost risk pool (HCRP) transfers. Guidance for changes to Risk adjustment holdback for the 2018 Benefit Year and Beyond Jun 2, 2019 · CMS is finalizing the proposed change and, beginning with the 2018 benefit year, will release the holdback amounts without regard to any pending appeals and make any necessary post-calculation adjustments in the event an appeal is successful."
YouTube Excerpt: 2018 holdback update
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