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Risk Sharing Work Group of the American Academy of Actuaries: Comment Letter to CMS on Exchange and Insurance Market Standards for 2015 and Beyond (PDF)
Risk Sharing Work Group, American Academy of Actuaries
[Opinion] Apr. 23, 2014 "According to the FAQ, risk corridor payments to plans would be reduced if risk corridor collections are insufficient to cover risk corridor payments. This changes the nature of the risk corridor program from one that shares risk between issuers and CMS to one that shares risk between competing issuers. In effect, issuers that overpriced would subsidize issuers that under priced.... If payments exceed charges for 2014 and payments are decreased to equal charges to achieve budget neutrality, then the risk corridor program will not fully achieve its goal of mitigating risk due to mispricing and may put some issuers at risk of solvency problems." MORE >> |
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