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CMS Proposes Rule On 2018 Budget-Neutral Risk Adjustment Methodology

August 08, 2018
CMS on Wednesday (Aug. 8) laid the groundwork to move forward with 2018 plan year risk adjustment payments by proposing methodology that maintains use of the statewide average premium for calculating risk adjustment transfers and expands on the reasoning behind that approach. The agency recently issued an interim final rule that explains the methodology for the 2017 plan year in order to restart the program after halting it in July to comply with a New Mexico federal district court ruling...


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