Getting Risk Adjustment Right

Earlier this summer, we touched on an interesting topic: risk adjustment. As a refresher, risk adjustment is a permanent part of most insurance programs, designed to spread risk among health plans offering coverage in state Exchange markets. 

In our efforts to look beyond just the medicines we create to help make life better for people, we are engaged in this topic because an environment that mitigates against risk helps patients access needed medications, resulting in better health outcomes.

As follow up to a public event we supported in partnership with health insurer Anthem, several experts from the American Action Network and the Urban Institute summarized the issues discussed in a new blog post in Health Affairs. While the forum deemed risk adjustment a helpful tool, there are areas for improvement – and continuing to address these shortfalls is critical to maintain a balance of mitigating risk and providing adequate health coverage to those who need it.

You can read the Health Affairs blog post here: http://healthaffairs.org/blog/2017/09/06/getting-risk-adjustment-right-is-key-under-any-individual-market-scenario/