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For Health Insurers, Court Decisions Continue to Complicate Risk Corridors Program Payments
Faegre Baker Daniels LLP 
May 4, 2017 "Although an insurer can still properly file a case now, the ruling in BCBS suggests another possible approach: presenting the issue after the numbers are fully tabulated for the entire three-year risk corridors program. Such an approach could help courts focus on the ultimate issue: whether a statute stipulating that an agency 'shall pay' under specified conditions imposes a legal obligation on the government to make payment when those conditions are met." [Blue Cross & Blue Shield of N.C. v. U.S., No. 16-651C (Fed. Cl. Apr. 18, 2017) ] MORE >> |
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