Monday, November 7, 2016

Blue Cross of Idaho is the latest insurer to file suit against HHS for $79.3 million ...

... it says it is owed through the Affordable Care Act (ACA) risk corridors program. The Idaho Statesman reported that the insurer filed suit Oct. 24 in the U.S. Court of Federal Claims. Insurers' suits are based mainly on demands for payment under the risk corridors program, which is part of the ACA's so-called 3Rs — also including the risk adjustment and reinsurance programs meant to backstop drastic carrier losses on the marketplaces. CMS on Sept. 9 released a preliminary update on risk corridors payments for 2015, telling insurers that all the funds collected for last year will be allocated to pay any remaining deficits for 2014. In that year, exchange carriers were paid only 12.6% or $362 million of the $2.87 billion in claims. At the same time, administration officials have said there is a possibility it will settle insurer lawsuits over the missing risk corridors payments, resulting in pushback from GOP lawmakers opposed to such a move.

No comments:

Post a Comment