HEDIS 2016 Standard Pricing and Risk Adjustment Tables
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® 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
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
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
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