White paper: Commercial risk adjustment updates to prepare for in 2026

First introduced in 2014 as part of the Affordable Care Act (ACA), commercial risk adjustment aims to create a level playing field for plans serving members with higher-than-average risk scores and needs. This is accomplished through a risk transfer formula enabling monetary transfers from lower-risk plans to higher-risk plans within the same marke...

• Published date: 22-05-2025 05:46 PM