Risk transfer formula for individual and small group markets under the Affordable Care Act.

  title={Risk transfer formula for individual and small group markets under the Affordable Care Act.},
  author={Gregory C. Pope and Henry Bachofer and Andrew Pearlman and John Kautter and Elizabeth Hunter and Daniel Miller and Patricia Keenan},
  journal={Medicare & medicaid research review},
  volume={4 3}
The Affordable Care Act provides for a program of risk adjustment in the individual and small group health insurance markets in 2014 as Marketplaces are implemented and new market reforms take effect. The purpose of risk adjustment is to lessen or eliminate the influence of risk selection on the premiums that plans charge. The risk adjustment methodology includes the risk adjustment model and the risk transfer formula. This article is the third of three in this issue of the Medicare & Medicaid… CONTINUE READING

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