Wakely 2018 Preliminary HHS RADV Study

Wakely collected Wakely National Risk Adjustment Reporting (WNRAR) participants’ 2018 Risk Adjustment Data Validation (RADV) data files including their initial validation audit (IVA) results to estimate national HCC Group average failure rates and confidence intervals. Based on these national benchmarks, Wakely also estimated issuer and market-level error rates. Our results included data from a total of 407 HIOS IDs who were subjected to the 2018 benefit year RADV program. This paper presents national level results of our analysis for 2018 as well as a comparison of those results to our 2017 study.