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Small New Insurers Making Big Payments to Blues Plans Under ACA

July 21, 2016, 4:00 AM

Small new insurers are continuing to have to make big payments to the large, more-entrenched BlueCross BlueShield plans under the Affordable Care Act, a Standard and Poor’s study finds.

Data from the Centers for Medicare & Medicaid Services on payments some health insurers will have to make for the 2015 plan year to carriers with sicker populations indicate that the ACA’s permanent risk adjustment program “is working as expected,” said the S&P report released July 18. However,

“Not all insurers—especially the smaller, new insurers, are on board with the results,” it said, adding that the data “show a higher amount ...

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