By RaeAnn Grossman On Monday, CMS shared proposed rules to enforce the health insurance marketplace for 2018. The proposal highlights new payment parameters and provisions regarding risk adjustment, including cost sharing reductions and guidelines. The notice proposes updates for 2017 to improve how it interprets the risk allocated to marketplace enrollees who are not enrolled […]
By RaeAnn Grossman We have heard a lot of about Aetna, Humana, and United regarding getting out of select states for the ACA individual market. Now we are seeing and hearing the CMS reaction and other reports and recommendations. Andy Slavitt, CMS Acting Administrator, recently shared that health plans need to know their members and […]
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