Common use of Risk Adjustment Clause in Contracts

Risk Adjustment. A methodology to account for the health status of Members via relative risk factors when predicting or explaining costs of services covered under the contract for defined populations or for evaluating retrospectively the experience of Contractor. Must be developed in a budget neutral manner consistent with generally accepted actuarial principles and practices.

Appears in 12 contracts

Samples: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)

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Risk Adjustment. A methodology to account for the health status of Members via relative risk factors when predicting or explaining costs of services covered under the contract this Contract for defined populations or for evaluating retrospectively the experience of Contractor. Must be developed in a budget neutral manner consistent with generally accepted actuarial principles and practices.

Appears in 3 contracts

Samples: Contractual Agreement, Contractual Agreement, Contractual Agreement

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