Transcription of Potential HHS-HCC Updates for Risk Adjustment Program
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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Center for Consumer Information & Insurance Oversight 200 Independence Avenue SW Washington, DC 20201 Potential Updates to HHS-HCCs for the HHS-operated Risk Adjustment Program June 17, 2019 EXECUTIVE SUMMARY .. 1 Table Overview of Potential Changes across Adult, Child and Infant Models .. 3 Table Summary of V06a HHS-HCC Risk Adjustment Model Changes .. 4 Overview .. 6 Purpose and Structure of this Paper .. 6 Purpose of ICD-10 Reclassification.
The Department of Health and Human Services Hierarchical Condition Category (HHS-HCC) diagnostic classification is the foundation of the HHS-operated risk adjustment program for the individual and small group markets under section 1343 of the Patient Protection and Affordable Care Act (PPACA).
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