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CMS May Be Restarting ACA Risk-Adjustment Payments
HealthLeaders
July 20, 2018
"[An] interim final rule CMS sent [July 19 to OMB] for review suggests one of those options could be to restart the program.... The title of the potential regulatory item, 'Ratification and Reissuance of the Methodology for the HHS-operated Permanent Risk Adjustment Program under the [ACA],' indicates that CMS is looking to recalibrate the way it calculates payments. Doing so could accomplish what critics said CMS should have done in the first place, instead of halting the payments."
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