Trexin helped a Healthcare Payer capture $715M in Affordable Care Act payments for the 2015 benefit year
Trexin helped a Healthcare Payer capture $715M in Affordable Care Act payments for the 2015 benefit year
1 PagesTREXIN CASE STUDY © TREXIN CONSULTING, LLC CONTACT US Healthcare Practice hc@trexin.com www.trexin.com SECURING $715M IN RISK ADJUSTMENT AND REINSURANCE Trexin helped a Healthcare Payer capture $715M in Affordable Care Act payments for the 2015 benefit year. BUSINESS DRIVER As part of the Affordable Care Act (ACA), the U.S. federal government implemented multiple programs to mitigate adverse selection, allocate risk, and stabilize premiums in the individual and small group markets. Two of these programs, Risk Adjustment and Reinsurance (2R), proved to be crucial to Payers’ survival in the early days of the ACA. Sensing that they were not maximizing their Risk Adjustment and Reinsurance results to the full extent allowable by regulations, our Client, a very large mult
