HEDIS 2016 Standard Pricing and Risk Adjustment Tables

Below are the standard pricing tables for the Relative Resource Use (RRU) measures and the risk adjustment tables for the RRU and the Risk-Adjusted Utilization measures. Please note that some risk adjustment tables are used for all or multiple risk adjusted measures and some are measure-specific.

HEDIS 2016 RRU Standard Pricing Tables

RRU Standard Pricing Tables

HEDIS 2016 Shared Risk Adjustment Tables

Shared Risk Adjustment Tables (all measures)*

*These tables are used for ACO reporting.

HCC-Surg (PCR and RRU measures only)*

*These tables are used for ACO reporting.

HEDIS 2016 RRU Risk Adjustment Tables

RRU Risk Adjustment Tables

HEDIS 2016 Risk Adjusted Utilization Tables

PCR Risk Adjustment Tables* (Updated December 4, 2015)

*These tables are used for ACO reporting.

IHU Risk Adjustment Tables

EDU Risk Adjustment Tables

HPC Risk Adjustment Tables (Updated December 4, 2015)