Trump Administration Prepares Rule To Resume Paying Billions To Insurers After Abruptly Freezing The Program
The OMB was sent a rule related to the program on Wednesday from CMS that had a status that would allow it to go into effect immediately.
Modern Healthcare:
CMS May Propose Restarting $10B Risk-Adjustment Payments
The CMS may soon restart making billions of dollars in risk-adjustment payments to insurance companies with plans on the individual market via a new rulemaking. The agency on Wednesday sent an interim final rule related to the payments to the White House Office of Management and Budget for review. It's unclear what exactly the rule will do. However, health policy insiders say there are clues in the rule's name: "Ratification and Reissuance of the Methodology for the HHS-operated Permanent Risk Adjustment Program under the Patient Protection and Affordable Care Act." (Dickson, 7/19)
Bloomberg:
Trump Administration Preparing Fix For Obamacare Risk Payments
An administration official said the rule is an option being considered to resolve the legal dispute that has held up the payments. The rule is labeled as an interim final rule, a status that would allow it to go into effect immediately. It’s titled “Ratification and Reissuance of the Methodology for the HHS-operated Permanent Risk Adjustment Program under the Patient Protection and Affordable Care Act.” (Tracer, 7/19)