In response to the ongoing pandemic and need to use telehealth and virtual care options, the Department of Health and Human Services (HHS) will continue to include certain telehealth and telephone-only services in its risk adjustment program for qualified health plans in plan year 2022, the Centers for Medicare & Medicaid Services recently announced.
Authorized by the Affordable Care Act, the program transfers funds from plans with relatively low-risk enrollees to plans with relatively high-risk enrollees to help stabilize premiums for non-grandfathered plans in the individual and small group markets.
