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Cms In A Reversal Announces Plans To Continue Funding Risk Adjustment Payments - Latest News

Daily on Healthcare: US healthcare spending rises to $3.5 trillion in 2017…drug spending stays almost flat

Trump administration reaches final decision on risk adjustment program, despite pending litigation. The risk administment program will continue under the same structure that was set in 2018, CMS annou... read more

Feds sue UnitedHealth over Medicare payments

In February, the federal government announced it ... in that state. In Medicare Advantage, the government pays health plans on a set per-member, per-month basis, and adjusts payments according to an i... read more

Trump admin temporarily halting some payments under Obamacare program

Republicans continue to fight for legislation to repeal Obamacare. The Trump administration announced Saturday that it will temporarily halt billions of dollars in payments under the Affordable Care A... read more

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As insurers file rates, freeze to Obamacare payments injects uncertainty in Louisiana

The Centers for Medicare and Medicaid Services announced over the weekend it would halt payments under what ... its decision and resume the risk adjustment program." Wakefield added Blue Cross will co... read more

CMS Finalizes 2015 Payment Parameters, Standards for PPACA Plans

Late last year, President Barack Obama decided to let health insurers continue offering plans that don't meet the reform law's requirements through the end of this year. CMS' final ... a state-level a... read more

Aetna and Humana Agree to Sell Certain Medicare Advantage Assets to Molina Healthcare, Inc.

--(BUSINESS WIRE)--Aetna (NYSE:AET) and Humana Inc. (NYSE:HUM) today announced they have entered into separate agreements to sell certain of their respective Medicare Advantage assets ... reinsurance, ... read more

Reform Update: Partisan standoff looms over crucial risk-corridor payments

A big fight could be brewing over Obamacare's risk-corridor ... provide explicit funding for the risk-corridor program. The CMS insisted that it has the authority to make payments to insurers through ... read more

For health insurers, latest Affordable Care Act move creates more unknowns

The administration cited a recent court ruling in explaining its decision to put a hold on risk adjustment transfers worth more than $10 billion across the individual and small group insurance markets ... read more

AHIP Head Warns That ACA Premium Increases Are Coming

Tavenner, who is the former head of the Centers for Medicare ... reinsurance, or payments to plans that enroll higher-cost individuals, and risk corridors that set an allowable range for losses and ga... read more

Obamacare-Created Insurers Take the Feds to Court

Two years later, all but seven have closed or have plans to close. Just this month, co-ops in Connecticut, Illinois and Oregon announced they were going ... have gamed the system to avoid making "risk ... read more

Aetna and Humana to Vigorously Defend Their Pending Transaction

--(BUSINESS WIRE)--Aetna (NYSE: AET) and Humana Inc. (NYSE: HUM) today announced plans to vigorously defend the companies’ pending ... and a better overall experience for consumers. Aetna and Humana l... read more

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