Becker's Healthcare July 9, 2018
Alia Paavola

The Trump administration is freezing billions of dollars in risk adjustment payments, which were established under the ACA to help insurers that accept high-cost patients protect their bottom lines, according to The Washington Post.

Here are six things to know:

1. CMS, a department of HHS that oversees much of the ACA, announced the decision July 7 after a federal court decided the formula to determine risk-adjustment payments was flawed.

2. The Trump administration suspended the “risk adjustment” program. It was established under the ACA to encourage insurers to participate in the ACA marketplace and accept all customers without charging more for patients in need of substantial medical services. In addition, it was put in place to protect insurance companies...

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