HEDIS 2016 Standard Pricing and Risk Adjustment Tables

Below are the standard pricing tables for the risk adjustment tables for 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 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 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)