Healthcare DIVE July 20, 2018
Tony Abraham

Dive Brief:

  • An interim final rule from CMS that could reinstate the suspended $10.4 billion in risk-adjusted payments to insurers is awaiting approval from the Office of Management and Budget.
  • The payments were designed to stabilize the nascent Affordable Care Act market by redistributing money to insurers with higher-cost members. A Trump administration official told Bloomberg that the rule is being considered to resolve the legal dispute that caused CMS to freeze the payments.
  • The decision to halt the payments during a period where payers are finalizing offerings for open enrollment in November put the insurance industry in a tizzy. Many warned that the decision to halt the payments would hike up premiums for 2019.
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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Payer, Public Exchange
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