BUILDING BLOCKS > MANAGER > RISK POOL AND PLAN FUNDING

Risk Pool

How are individuals grouped to allow payers to offset the cost of individuals with high medical expenses with healthier individuals with lower medical expenses?

Return to Building Blocks

Community Rating

Policy Definition: A rule that prevents health insurers from varying premiums within a geographic area based on age, gender, health status or other factors. source

LEARN MORE

High Risk Pools

Policy Definition: High-risk pool plans offer health insurance coverage that is publicly subsidized. Typically, premiums are up to twice as much compared to individual coverage premiums for a healthy person. source

LEARN MORE

Risk Corridor

Policy Definition: A risk corridor limits losses and gains beyond an allowable range by collecting funds from plans with lower than expected claims and makes payments to plans with higher than expected claims. source

LEARN MORE

Risk Adjustment

Policy Definition: Risk adjustment is a method to offset the cost of providing health insurance for individuals who are at higher, long-term risk due to chronic conditions. source

LEARN MORE

learn more at unitedstatesofcare.org

©2019 United States of Care Campaign