Bloomberg Law
Nov. 24, 2020, 8:46 PM

Obamacare Program for Pre-Existing Conditions Gets HHS Update

Sara Hansard
Sara Hansard

The Trump administration is changing calculations for a complicated Obamacare program intended to ensure that health insurers are paid when covering the sickest patients.

The Centers for Medicare & Medicaid Services released a final rule Tuesday aimed at improving the patient data used to determine how insurers pay one another for covering high-cost enrollees.

To stop health insurers from avoiding people with costly pre-existing conditions, the Affordable Care Act requires insurers with healthier customers to make payments to insurers that cover people with higher health-care costs. Insurers that cover more people with costly medical problems can offer ...