Modern Healthcare July 7, 2017
Small health insurers and the few remaining co-op plans were again sacked with large charges under the Affordable Care Act’s risk-adjustment program, according to the CMS.
The CMS released data late Friday for the third year of the ACA’s controversial risk-adjustment program, which shuffles money from plans with healthier enrollees to those with sicker ones. The agency also released the 2016 payments under the temporary reinsurance program, which protects health insurers against costly claims.
For ACA plans sold in 2016, the reinsurance payments total $4 billion. The CMS said 445 insurers will receive reinsurance payments.
The permanent risk-adjustment program is meant to keep ACA insurers from cherry-picking healthier plan members over sicker, costlier ones. It collects payments from plans with...
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