CMS Revises Rate Finalizing Deadline For Single Risk Pool Filings; Will Change Risk Adjustment To Account For ‘Silver Loading’

By Amy Lotven / August 11, 2017 at 4:46 PM
CMS is proposing to update its risk adjustment methodology and extending the Aug. 16 deadline for single pool rate filings until Sept. 5 to account for states regulators' request that carriers load price increases onto silver-level products, the agency announced in guidance out Thursday (Aug. 10). The guidance also states that there have been “no changes regarding HHS’ ability to make cost-sharing reduction payments to issuers.” However, the guidance also notes that because many state insurance commissioners are encouraging “silver-loading”...


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.