The 2027 Social Security COLA could come in near 3.8%, adding an estimated $300 billion to the program's shortfall. Here's ...
In future rulemaking, the Centers for Medicare and Medicaid Services will propose that all issuers fund a small payment to the risk adjustment program to help marketplace insurers with high claims ...
Federal regulators will need to modify the Affordable Care Act (ACA) risk adjustment program if policymakers make changes to the individual and small group health insurance markets, according to a new ...
Worcester-based Fallon Health and two other insurance plans have asked the state’s Health Connector Insurance Authority to review risk assessment fees that they say could financially impact smaller ...
The Medicare Shared Savings Program (MSSP) adjusts savings benchmarks by beneficiaries’ baseline risk scores. To discourage increased coding intensity, the benchmark is not adjusted upward if ...
During the first two years that they were implemented, the Affordable Care Act’s risk adjustment and reinsurance programs proved helpful financially for health insurers with the highest claims costs, ...
Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying ...
Connecticut Insurance Commissioner Katharine L. Wade moved to protect existing policyholders after HealthyCT learned June 30, 2016, it would have to pay CMS $13.4 million under the ACA Risk Adjustment ...