Common use of Credibility Adjustment Clause in Contracts

Credibility Adjustment. In total, the statewide MyCare Opt-In program experience was fully credible. While we did not apply an explicit credibility adjustment to the data, we did develop the Opt-In capitation rates at the region and rate cell level. To mitigate any credibility concerns at the regional level and to preserve potentially proprietary MCOP information in regions where only two MCOPs are present, we developed factors to stratify the statewide Opt-In experience into regional summaries. These factors were primarily informed by the combined CY 2019 Opt-Out and Opt-In encounter data.

Credibility Adjustment. In total, the statewide MyCare Opt-In program experience was fully credible. While we did not apply an explicit credibility adjustment to the data, we did develop the Opt-In capitation rates at the region and rate cell level. To mitigate any credibility concerns at the regional level and to preserve potentially proprietary MCOP information in regions where only two MCOPs are present, we developed factors to stratify the statewide Opt-In experience into regional summaries. These factors were primarily informed by the combined CY 2019 SFY 2022 Opt-Out and Opt-In encounter data.