The Centers for Medicare & Medicaid Services Friday issued a proposed rule amending the Department of Health and Human Services’ Risk Adjustment Data Validation (HHS-RADV) program.

The proposed rule would amend the error rate methodology and apply the results of the audit to current year rather than subsequent year risk scores. The program validates the accuracy of data that issuers submit to the HHS-operated risk adjustment program to calculate the amount of funds transferred among insurers to adjust for risk based on the individuals they enroll.

According to HHS, the proposed rule addresses stakeholder feedback, and will provide states and issuers with a more stable and predictable regulatory framework, promote program integrity, and foster increased competition. 

Related News Articles

Headline
The AHA’s American Society for Health Care Risk Management is celebrating Health Care Risk Management Week, which honors health care risk management…
Headline
Abbott has recalled certain lots of its Dragonfly OpStar imaging catheter because a marker band may separate from the catheter and remain in the patient after…
Headline
AHA today urged the Federal Trade Commission to scrutinize commercial health plans that steer patients to third-party specialty pharmacies in which they have a…
Headline
The Food and Drug Administration last week extended to 24 months the shelf life for certain lots of refrigerated bamlanivimab. The combination monoclonal…
Headline
Medtronic this week alerted health care providers to a defect in its Heartware Ventricular Assist Device System that may cause the internal pump to malfunction…
Headline
April 30 is National Prescription Drug Take Back Day, an opportunity for the public to safely dispose of unwanted or expired tablets, capsules, patches and…