Integration of SDOH into Medicaid risk adjustment yields a small but measurable reduction in volatility and variation of financial results, our study found.

The COVID-19 Advanced Population Shift model is a tool to help understand the interconnected nature of economic changes and health insurance coverage and to project the effects on the U.S. health insurance markets.

As knowledge around COVID-19 continues to evolve, much of the industry focus has been on this year’s costs, but this volatile and uncertain environment also presents an extraordinary challenge for health plans developing rates for 2021 commercial coverage.

In this whitepaper and accompanying report, we evaluate several options available to state policymakers to reduce the cost of coverage in individual marketplaces.

This paper examines the potential implications of House Resolution 6311, passed by the US House of Representatives in July, whose expansion of catastrophic plan eligibility could expose ACA health plans to significant rating risk if made into law.

If cost-sharing subsidies were to be eliminated, it could expose insurance carriers to a substantial increase in selection risk related to their particular mix of business.