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 ...

HHS sets the risk adjustment methodology that it uses in states that elect not to operate the program in advance of each benefit year through a notice-and-comment rulemaking process with the intention ...

Minuteman Health, one of the new nonprofit, member-owned CO-OP carriers, may have to pay an amount equal to about 40 percent of its enrollees' 2015 premiums into New Hampshire's Affordable Care Act ...

Financial struggles at Bright Health Group and Friday Health Plans have raised concerns about how well the Affordable Care Act's (ACA's) risk adjustment program is working, especially whether it's ...

On December 28, 2021, the U.S. Department of Health and Human Services (HHS) issued a 408-page proposed 2023 Notice of Benefit and Payment Parameters alongside a press release, fact sheet, guidance on ...

The Trump administration recently announced a pause in the Affordable Care Act “risk adjustment” program. The action came in response to lawsuits and conflicting court rulings, one of which enjoined ...

Commercial health plan initiation of a co-pay accumulator adjustment program for specialty medications treating autoimmune diseases was associated with significant reductions in medication adherence ...