Insurers Entitled to Obamacare Cost-Sharing Pay, Court Says (1)

The Trump administration must make it up to health insurers for refusing to honor an Obamacare program that required it to pay them for reducing low-income members’ deductibles, copayments, and coinsurance costs, the Federal Circuit said Friday.

Up to $2.5 billion is at stake in the long-standing litigation over whether the Affordable Care Act’s cost-sharing reduction provision requires the government to reimburse insurers for foregoing costs normally passed on to members, given that Congress never set aside the money for it to do so.

The result was foreshadowed by the insurers’ April win in a U.S. Supreme Court case presenting ...