Risk Corridor Structure. The CY 2020 capitation rates will include a risk corridor as a risk mitigation mechanism where ODM retains gains and losses outside of defined levels. The risk corridor is being added in recognition of claims cost uncertainty attributable to the COVID-19 pandemic. The structure of the risk corridor and the anticipated timing of activities is provided later in this report. The addition of a risk corridor does not serve to alter the certified capitation rates for January through December 2020. Therefore, the certified capitation rates for January through June 2020 remain unchanged from the Original certification while the rates attributable to July through December 2020 were only revised to reflect amounts for the supplemental dispensing fee.
Risk Corridor Structure. The CY 2020 capitation rates will include a risk corridor as a risk mitigation mechanism where ODM retains gains and losses outside of defined levels. The risk corridor is being added in recognition of claims cost uncertainty attributable to the COVID-19 pandemic. The structure of the risk corridor and the anticipated timing of activities is provided later in this report. The certified capitation rates remain unchanged from the Original certification.
