American Hospital Association July 1, 2019

The Centers for Medicare & Medicaid Services Friday released a report on the final estimated results of the permanent risk-adjustment program for the 2018 benefit year. The program, created by the Affordable Care Act, transfers funds in the individual and small group health insurance markets from health plans with lower-risk enrollees to plans with higher-risk enrollees to spread the financial risk and help stabilize premiums. A total of 572 issuers participated in the program for the 2018 benefit year, down from 654 issuers in 2017....

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