HealthLeaders Media July 1, 2019
Steven Porter

The agency released data showing what it described as the program ‘working as intended’ to redistribute financial resources according to the relative risk of participating health plans.

The administration froze risk-adjustment payments a year ago, citing a decision by a federal judge in New Mexico.

Critics called on the administration to move quickly, and the payments were unfrozen about two-and-a-half weeks later.

A final fix for the 2018 benefit year was adopted in December.

After a short-lived stoppage of the Affordable Care Act’s permanent risk-adjustment program last year, the Centers for Medicare & Medicaid Services said in a report Friday that the program “operated smoothly for the 2018 benefit year.”

By that, the CMS report means the program—which is designed...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Payer, Provider, Public Exchange
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