HHS to Review ACA Risk Adjustment Program

The Department of Health and Human Services will review problems with the Affordable Care Act risk adjustment program, a top agency official told the J.P. Morgan Healthcare Conference in San Francisco.

The program is intended to compensate health insurers that cover sicker-than-average enrollees, but it has forced many smaller health insurers and nonprofit Consumer Operated and Oriented Plans (CO-OPs) created under the ACA to make large payments to other insurers, and some of them have called for a cap on payments.

The Obama administration will hold a public conference on the program March 25, acting Centers for Medicare & Medicaid ...