Commercial risk adjustment was established as part of the Affordable Care Act to stabilize risk for individual and small group plans inside and outside of the Exchange marketplace. It helps carriers offer various plans to meet the needs of a diverse population and is administered either by individual states or by the Department of Health and Human Services.
Premera's Enrollee Health Assessment Program supports members with chronic conditions by:
Here are some Enrollee Health Assessment (EHA) Program resources for providers and staff:
If you have questions, please call Physician and Provider Relations at 800-722-4714, option 4, or email ProviderEngagementTeam@premera.com