CMS Gives Plans An Exit Path If House Gets Courts To Ax Cost-Sharing Reductions

By Amy Lotven / September 20, 2016 at 3:48 PM
CMS has provided industry its sought-after out should the federal courts agree with House Republicans that the administration illegally allowed the ACA's cost-sharing reductions to flow to health plans without congressional appropriations. The agency included in the qualified health plans' agreements for 2017 a clause that acknowledges their filings were based on assumptions that the CSRs would be in place, and thus their disappearance would be a cause for termination subject to state law. Industry sources previously told Inside...

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