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CMS Issues Risk Adjustment Summary Report

July 10, 2018
CMS on Monday (July 9) issued its summary report of the estimated $10.4 billion in risk adjustment transfers for issuers that participated in the individual and small group markets in the 2017 plan year, while also reiterating it will not make payments or collections due to an ongoing case in New Mexico. The report, which was due June 30, found that risk scores in both markets declined from 2016, which CMS attributes to healthier enrollees shifting from higher value platinum...


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