The Central Asia Regional Economic Cooperation (CAREC) region is highly exposed to natural hazards, particularly earthquakes and floods, and the adverse economic impacts of climate change. A regional disaster risk transfer facility could help CAREC countries diversify risk, reduce costs, increase access to international insurance and capital markets, and coordinate risk analysis and modeling. This report draws on lessons from other regions to explore opportunities and options for developing a CAREC Risk Facility. It suggests next steps in establishing a facility and considers the role of stakeholders including the Asian Development Bank.