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Why is risk adjustment important?

  • Without risk adjustment, it would be financially advantageous for plans to enroll only lower-risk individuals, or to over-charge higher-risk enrollees. Risk adjustment mitigates the affect of potential adverse selection and stabilizes premiums in the individual and small group markets so that premiums reflect differences in benefits and plan efficiency, not health status of enrolled population.

Which certification is right for you?

Call 877-290-0440 or have a career counselor call you.

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