Common use of Appropriate Documentation Clause in Contracts

Appropriate Documentation. i. Prospective risk adjustment (a) Data and adjustments (b) Risk adjustment model (c) Risk adjustment methodology ii. Retrospective risk adjustment Following the completion of the rating period, we anticipate revising the initial CY 2020 risk adjusted rates to utilize relative risk scores derived from an updated concurrent risk adjustment analysis. This methodology is being implemented as a result of changes in the auto-assignment process utilized in the MMC program, which has the potential to produce discrepancies in the risk profile by MCP for members not scored under the initial risk adjustment methodology.

Appropriate Documentation. i. Prospective risk adjustment (a) Data and adjustments (b) Risk adjustment model (c) Risk adjustment methodology ii. Retrospective risk adjustment Following the completion of the rating period, we anticipate revising the initial CY 2020 2021 risk adjusted rates to utilize relative risk scores derived from an updated concurrent risk adjustment analysis. This methodology is being implemented as a result of enrollment changes in the auto-assignment process utilized in the MMC program, which has have the potential to produce discrepancies in the risk profile by MCP for members not scored under the initial risk adjustment methodology.