In response to criticism from some health insurers, federal regulators are considering some changes to the Affordable Care Act's risk adjustment program starting in 2018. The Centers for Medicare & ...

Despite some complaints about the risk adjustment program, it would be unfair and detrimental to give any insurer a "free pass" to get out of participating in it, argues a recent Health Affairs blog ...

On Wednesday, August 8, CMS filed a proposed rule clearing the way for the federal government to continue making payments under the ACA’s risk adjustment program for the benefit year 2018. The 2018 ...

Managers of the ACA CO-OPs that survived in 2017 have argued that the risk-adjustment program rules discriminate against smaller, newer, cheaper plans. Ongoing problems with the Affordable Care Act ...

To maximize shared savings, mastering risk adjustment is a critical factor for Accountable Care Organizations (ACOs) participating in MSSP, ACO REACH, and other alternative payment models.

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Insurance co-op New Mexico Health Connections won a partial victory in its lawsuit against the federal government over the Affordable Care Act's risk-adjustment program. U.S. District Judge James ...