講多樣野
Revise Guidance 原因係呢個
The analysis of the 2Q Risk Adjustment Reports, covering nearly 100% of Oscar’s geographic footprint, shows that overall ACA Marketplace risk scores, a measure of the average morbidity of the market, have increased by more than the Company’s prior estimates
咩係 Risk adjustment 呢
你可以睇bal sheet
你會留意到有兩舊野好特別
1)Benefits payable
呢個係medical payment reserves 黎
2) Risk adjustment transfer receivable 同 payable
呢個係 ACA 重點黎
類似我地果d 自願醫保咁
佢係一個大 pool,唔同保司既 ACA plan
如果 A 公司既客less risk (後生d),就要支付相應 risk transfer 比 B 公司 with higher risk customers
令到所有人理論上不論風險都有低保費
今次 Revise guidance就係代表其他差既ACA company MLR升左
所以要OSCR risk adjustment transfer 一舊錢比佢去補貼