The CMS unveiled a proposal Wednesday to adopt the risk adjustment methodology established for the 2018 benefit year, which uses the statewide average premium, in calculating Affordable Care Act risk adjustment payments to insurers. CMS Administrator Seema Verma said the proposal continues the agency's "effort to help stabilize the individual and small group markets" and it would permit the program to continue for the 2018 benefit year.
CMS proposes using 2018 benefit year methodology in risk adjustment payments
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