In future rulemaking, the Centers for Medicare and Medicaid Services will propose that all issuers fund a small payment to the risk adjustment program to help marketplace insurers with high claims ...

Worcester-based Fallon Health and two other insurance plans have asked the state’s Health Connector Insurance Authority to review risk assessment fees that they say could financially impact smaller ...

To maximize shared savings, mastering risk adjustment is a critical factor for Accountable Care Organizations (ACOs) participating in MSSP, ACO REACH, and other alternative payment models.

The New York State Department of Financial Services issued an emergency regulation to address unequal impacts some small group insurers face under CMS’ risk adjustment program. Under the Affordable ...

The Trump administration halted the payments, citing a ruling out of New Mexico that the risk-adjustment program’s implementation was flawed and hadn’t been adequately justified by federal regulators.

WASHINGTON, April 12, 2016 /PRNewswire-USNewswire/ -- The Affordable Care Act's (ACA) permanent risk adjustment program appears to have generally worked as intended in its first year, but with some ...