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Paying for ACA Cost-Sharing Reductions: Are Premiums Too Low or Too High?
Health Affairs Forefront Link to more items from this source
Dec. 6, 2022

"CSR load factors and the methods for calculating them have come under scrutiny recently, with suggestions for using the CSR load to achieve policy goals, such as increasing available premium subsidies or influencing enrollee plan choices. Although these may be worthwhile goals, there are questions about the appropriateness of certain methods for calculating the CSR load and whether the resulting loads are actuarially justified."

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