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CMS Proposes Giving States Control Over Essential Health Benefits, Other ACA Elements
American Journal of Managed Care Oct. 30, 2017 "The proposal contains elements that could attract support from the insurers, such as provisions to extend the period for distributing funds under risk adjustment formulas, which were designed to compensate insurers who take on costlier enrollees. And, the proposal would change the formulas for these fund transfers to reflect high-cost specialty drugs these patients take." |
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