Challenging the Risk Adjustment Program

Challenging the Risk Adjustment Program

If you’re one of the six people left who still hasn’t had enough of ACA litigation, you’re in luck. Yesterday, a health plan in Maryland sued the Centers for Medicare and Medicaid Services, arguing that it has botched the implementation of the risk adjustment program.

The risk adjustment program is one of the three R’s—reinsurance, risk adjustment, and risk corridors. Unlike the risk corridor program, which only lasts through the end of this year, the risk adjustment program is permanent.

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