Frequently Asked Question (FAQ)

FAQ ID:  8487 Publish Date: 01/22/2019

Program Area:

Risk Adjustment (RA)

Primary Category:

Risk Adjustment Operations

Secondary Category:

Risk Scores


How are risk scores aggregated to the issuer level?


Risk scores are only aggregated to the plan level in a rating area and results in the Plan Liability Risk Score (PLRS). Please refer to the 2019 Final Payment Notice located here or the 2014 Final Payment Notice located here on the Government Publishing Office (GPO) website.


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