Ramping up the controversy surrounding the Affordable Care Act’s risk adjustment program, two more health insurers have sued the federal government over what they see is a flawed formula that unfairly ...

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 ...

Newly finalized regulations from the federal government create a “next generation risk adjustment model” aimed at stabilizing the Affordable Care Act marketplaces. On Friday, the Centers for Medicare ...

The New York State Department of Financial Services issued an emergency regulation to address unequal impacts some small group insurers face under CMS’ risk adjustment program. Under the Affordable ...

On June 30, the Centers for Medicare and Medicaid Services (CMS) released its report on the Affordable Care Act’s (ACA) risk-adjustment and reinsurance programs for benefit year 2015. Less than a week ...

Executives at major health systems are at odds with several aspects of CMS’ annual proposed changes to next year’s physician fee schedule and the Medicare Shared Savings Program. One point of ...

Worries about what happens when issuers fail, or simply refuse to pay their risk-adjustment program bills. Whether the risk scores adequately reflect the relative risk of enrollees. Whether the issuer ...

Based on TSCL's and Johnson's projections, a 2.7% or 2.8% cost-of-living adjustment would provide a $54 to $56 monthly boost ...

You are able to gift 5 more articles this month. Anyone can access the link you share with no account required. Learn more. BANGOR (AP) — Maine Sen. Susan Collins says President Donald Trump’s labor ...