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CBO Adds Silver Loading To Baseline, Says Not Funding CSRs Would Increase Costs

April 10, 2018
The Congressional Budget Office’s 2018-2028 Budget and Economic Outlook, released Monday (April 9), adjusted the baseline for ACA spending to incorporate silver-loading, a practice taken up by many insurers following the Trump administration’s move to end federal cost-sharing reduction (CSRs) payments to insurers last year. Because of this move, CBO says that not appropriating funds for CSRs would increase costs and in turn implies that appropriating funds for CSRs would lower costs relative to the baseline. This is the first...


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