The Tenth Circuit Court of Appeals could soon deliver a ruling in the ongoing case on whether HHS wrongly assumed that the Affordable Care Act's risk adjustment program had to be budget neutral, and whether state-wide adoption of that policy means that average premiums in the risk adjustment methodology should stand. The ruling in the case, New Mexico Health Connections vs. HHS, is unlikely to have a large impact because federal agencies have already paid out $10.4 billion in...