fah hospital policy blog

Perspectives on health policy affecting America’s hospitals and the patients we serve.

FAH, Coalition Write CMS in Support of Risk Adjustment Program

July 16, 2018 | FAH Policy Blog Team

Category: Affordable Care Act, Insurance

The Federation of American Hospitals along with 27 other provider and patient groups sent a letter to CMS Administrator Seema Verma today expressing apprehension about the suspension of the Affordable Care Act risk adjustment program.

“We are very concerned that this move will create further uncertainty in the marketplace, negatively impacting patients’ access to affordable and comprehensive coverage, and lead to higher premium increases next year,” the groups wrote.

On July 7th CMS announced it was suspending billions of dollars in payments related to the risk adjustment program. It protects insurers from unanticipated costs in the event that their enrollees are less healthy, as well as minimizes any incentives for insurers to target healthier individuals only for enrollment.

The groups urged the agency to reconsider the decision and possibly issue an expedited rule that would reinstate the payments.

You can click here to read the complete letter and find the list of groups who signed it.