FAQs Frequently asked questions. 3 items What’s the role of health insurers in single payer? There is no role for health insurers in providing the universal comprehensive insurance coverage. If risk adjustment is gamed today, e.g., by Medicare Advantage plans, how will that be prevented under single payer? For risk adjustment to work well under single payer, oversight and enforcement will need to be strong. What role will risk adjustment have in single payer? If a single payer system permits capitated payment of providers, then risk adjustment will be needed. Risk Adjustment
