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Tenth Circuit Upholds HHS Risk Adjustment Methodology
Katie Keith, in Health Affairs Forefront Jan. 2, 2020 "The Tenth Circuit [concluded] that HHS' use of the statewide average premium was not arbitrary or capricious, that the risk adjustment program must be budget neutral, and that HHS should have been given more deference. The ruling reinstates HHS' risk adjustment methodology and means HHS need not take additional action to justify its methodology for 2014 through 2016." [New Mexico Health Connections v. HHS, No. 18-2186 (10th Cir. Dec. 31, 2019)] |
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