New Brief: Risk Adjustment for CYSHCN…
Risk Adjustment and Other Financial Protections for Children and Youth with Special Health Care Needs
In September 2011, an expert panel met to discuss the issues of risk adjustment in health care coverage for children and youth with special health care needs (CYSHCN). This one-day meeting was sponsored by the Division of Services for Children with Special Health Needs, Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services and facilitated by the Catalyst Center at the Boston University School of Public Health, with logistical support provided by John Snow, Incorporated. This report provides an overview of the importance of risk adjustment strategies for CYSHCN and their associated challenges, risk adjustment models, how costs are distributed across CYSHCN, and other financial protections for CYSHCN in capitated or global payment systems.
