Nationally, insurance industry officials quickly denounced the Trump administration's move and warned that the decision would drive up premiums.
The Trump administration has suspended more than $10 billion in Obamacare payments to insurance companies that lost money on state insurance exchanges.
"We were disappointed by the court's recent ruling". The payments work this way: The government takes money from insurers with healthier, low-risk customers, and gives it to insurers with less-healthy, higher-risk customers.
The idea is to remove the financial incentive for insurers to "cherry-pick" healthier customers. The government uses a similar approach with Medicare private insurance plans and the Medicare prescription drug benefit. About $10.4 billion was slated to be transferred past year.
New Mexico Health Connections and Minuteman Health of MA, two small nonprofit insurers, filed lawsuits in 2016, contending that the Obama administration created an inaccurate formula that unfairly rewarded large insurers.
The program is critical to markets under the Affordable Care Act because insurers with healthier consumers enrolled in plans reimburse insurers with sicker and more expensive enrollees. "It will create more market uncertainty and increase premiums for many health plans - putting a heavier burden on small businesses and consumers, and reducing coverage options", AHIP said.
Dr. Dave Weldon, president of the Alliance of Health Care Sharing Ministries, discusses why health care sharing ministries could be a good alternative for people who can't find affordable health care.
CMS was referring to a February ruling from a federal court in New Mexico that invalidated the risk adjustment formula, and a January ruling from a federal court in MA that upheld it.
Serota noted that the payments are required by law, and said he believes the administration has the legal authority to continue making them despite the court cases. Health law experts are...
But Senator Ron Wyden, the ranking Democrat on the Senate Finance Committee, said encouraging navigators to promote plans that don't comply with the ACA is "federally funded fraud: paying groups to sell unsuspecting Americans on junk plans that allow insurance companies to deny care on a whim and charge whatever they want is nothing but a scam".
The pro-ACA group Protect Our Care issued a statement from its executive director, Brad Woodhouse, Saturday after the administration announced its decision regarding risk penalty payments, characterizing the move as further chipping away at the Affordable Care Act.
Duke and Duchess of Sussex arrive in Ireland for tour
The royal couple with also meet with young people interested in coding when they visit the startup hub Dogpatch Labs in Dublin 1. She doubled back towards the child and shook his hand, before breaking out in a laugh as the little boy looked on, unsmiling.
Deschamps Says Henry Facing France ‘Bizarre’
Romelu Lukaku has been directly involved in 20 goals in his last 13 games for Belgium in all competitions (17 goals, 3 assists). France will play against Belgium and Harry Kane's England will contest against Croatia.
Gianluigi Buffon: 'Champions League is not an obsession'
When that's the case, I'll stop". "I am of a certain age, but I am in good health - physically, as well as mentally". "There's a special energy, which I felt straight away, I don't know if it's the atmosphere, the magic of Paris ".