CMS To Formally Propose RA Changes For High-Cost Members, Spars With Insurers On Risk Pool Data

CMS on Thursday (Aug. 11) indicated it will go through with its proposal to add a system that key stakeholders see as another form of reinsurance to the risk adjustment program, saying doing so will help stabilize the Affordable Care Act’s individual market. At the same time, the agency floated a new report based on early data that officials believe show the marketplaces will remain steady in the long run, prompting some head-scratching among insurers and researchers. “Given this...