CMS has released the risk adjustment summary report for the 2017 benefit year for the individual and small-group markets. The program, included as a permanent fixture of the Affordable Care Act (ACA), is designed to discourage adverse selection by health plans by providing transfer payments to plans with higher-than-expected health care costs. On a summer […]
Read MoreCMS has announced that the agency will halt payments to health plans under the Affordable Care Act’s risk adjustment program, pending a current court case in New Mexico District Court. The agency was scheduled to disburse $10.4 billion in payments to plans for the 2017 benefit year in the fall. The Saturday afternoon announcement drew […]
Read MoreThis afternoon, the Trump Administration released the first proposed rule under regular order concerning the Affordable Care Act’s Marketplaces (or Exchanges). The rule, which covers benefit and payment parameters for qualified health plans (QHPs) operating on and off the Marketplaces, would impact plans offered in 2019. This is another signal that despite the uncertainty surrounding […]
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