The Continuing Shredding of Barack Obamacare

Saturday, The Trump Administration said that it as suspended $10.4-B in payments expected by ACA, aka Barack Obamacare insurers, citing a federal judge’s ruling in a lawsuit over a program’s formula guidelines.

“We were disappointed by the court’s recent ruling,” the Administrator for the Centers for Medicare and Medicaid Services (CMS), which administers the program said in a statement.

CMS officials did not say how long the suspension would last or what would cause payments to be restored if ever.

The federal court ruling prevents the agency, which administers the ACA risk-adjustment program, from making further collections or payments, including those for the Y 2017 benefit year, until the litigation is resolved, the agency said.

The funds were expected to go out this Fall.

In February, US District Judge James Browning in Albuquerque, NM, ruled that the formula used by CMS to calculate payments in the risk-adjustment program was flawed and had not been adequately justified by federal regulators.

The program is critical to markets under the Affordable Care Act (ACA) because insurers with healthier consumers enrolled in plans reimburse insurers with sicker and more expensive enrollees.

The goal of the payouts was to encourage all insurers to participate in the ACA exchanges and enroll all kinds of customers Vs only targeting young, healthy people, according to the report.

New Mexico Health Connections and Minuteman Health of Massachusetts, 2 small non-profit insurers, filed lawsuits in U 2016, contending that The Hussein Obama Administration created an inaccurate formula that unfairly gifted large insurers.

Have a terrific week

  #ACA, #adjustment, #CMX, #court, #federal, #formula, #Obamacare, #program, #risk, #shredding

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