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Risk Adjustment Payments For The Individual And Small-Group Markets

posted by Kristine Grow

on July 25, 2018

WASHINGTON, D.C. – Matt Eyles, president and CEO of America’s Health Insurance Plans (AHIP), issued this statement following the Administration’s posting of a final rule that reissues, with additional explanation, the methodology for risk adjustment transfers for the 2017 benefit year:

Americans deserve affordable, comprehensive coverage and care, and the risk adjustment program helps to provide that security for consumers and small businesses without using any taxpayer dollars.

“We commend the Administration for taking swift action to issue this final rule, which provides much-needed stability and predictability as insurance providers finalize premiums and participation decisions for 2019. By quickly resolving the uncertainty regarding risk adjustment transfers, the Administration has taken an important step to ensuring more affordable coverage choices are available for all Americans, including high-need patients and those with pre-existing conditions.

“We look forward to continuing our work with Congress and the Administration to offer valuable coverage solutions that help to improve the health and financial stability of patients, consumers, and businesses.”