Abstract: Beginning in 2014, individuals and small businesses are able to purchase private health insurance through competitive Marketplaces. The Affordable Care Act (ACA) provides for a …

Affordable Care Act (ACA) provides for a program of risk adjustment in the individual and small group markets in 2014 as Marketplaces are implemented and new market reforms take effect. …

ACA HOME HEALTH, since 2006, is dedicated to the rehabilitation of patients in the continuum of care, after a hospitalization process or as referred by a physician, within the comfort of the …

2023年3月1日 · The HHS-HCC is a risk adjustment model that calculates risk scores concurrently, which means it uses diagnoses from a period to predict costs in that same period. This model …

2024年7月22日 · Participants in the risk adjustment program include health insurance issuers offering plans in the individual, small group, or merged market, with the exception of …

2022年3月17日 · The Patient Protection and Affordable Care Act, referred to as the Affordable Care Act or “ACA” for short, is the comprehensive health care reform law enacted in March …

2024年7月2日 · CMS developed HCCs to pay Medicare Advantage Organizations (MAOs) differentially based on disease burden and demographics. Some payers use proprietary risk …

As champions of this mission, we are responsible for the administration of the Florida Medicaid program, licensure and regulation of Florida's health facilities and for providing information to …

2015年12月10日 · One concept the federal government has been exploring to predict future healthcare expenditures is the hierarchical condition category (HCC) risk adjustment model. …

2024年5月28日 · This Health Policy 101 chapter provides an overview of the Affordable Care Act (ACA), a major reform of the U.S. health care system aimed at reducing high uninsured rates …