2019 HHS Risk Adjustment Model Coefficients (final)
Provides the corrected final HHS risk adjustment model factors (demographic and HCC diagnosis factors) for the 2019 benefit year; applies to entities using the HHS risk adjustment model and stakeholders in federal risk adjustment processes.
Corrected adult and infant risk adjustment model factors for the 2019 benefit year are provided, with amended factors highlighted.
Child risk adjustment model factors (Table 4) are included for convenience and were unchanged.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.