The Centers for Medicare & Medicaid Services (CMS) released a rule late Tuesday announcing restoration of the risk-adjustment program, ending the short-lived suspension announced earlier this month. The new rule addresses issuers concerns about insolvency or withdrawal from the markets.
Risk-adjustment payments of $10.4 billion will be released to insurers this fall for the 2017 plan year. The final rule keeps the same methodology for risk-adjustment transfers as previously outlined, using statewide premiums as part of the formula.
Read the final rule here.