CMS Will Let States Tweak RA Transfers In All Markets In 2020 If Justified

CMS has approved a broadened version of its controversial proposal to let state insurance regulators reduce risk adjustment transfer amounts, seen as way to help smaller issuers that say they've been disproportionately hit with high RA charges, but the agency delayed the start date from 2019 to 2020 and added language requiring states provide actuarial justification for any changes, which several issuers and associations had requested. It is unclear how many states will take advantage of the new opportunity, but...