Ruling That CMS Must Pay Moda Risk Corridor Payments Could Spur More Suits, Settlement Talk

By Amy Lotven / February 9, 2017 at 8:26 PM
U.S. Court of Claims Judge Thomas Wheeler ruled Thursday (Feb. 9) that the government failed to abide by a promise made to issuers when it didn't provide ACA risk corridor payments and must pay Oregon-based Moda Health $214 million the company was owned for 2015 and 2015. The ruling, the first win on the merits of issuers suing the government to get the payments, could spur other insurers to sue CMS, prod settlement talks with the Department of Justice, and...


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