Tag Archives: cost-sharing reduction payments

Court Denies Cost-Sharing Reduction Payment Recipients Right To Join Litigation (Updated)

On January 12, 2017, the D.C. Circuit denied two recipients of cost-sharing reduction payments the right to intervene in House v. Burwell, a challenge to reimbursement of insurers for those payments. The litigation is now in the hands of the Trump administration and the House.

January 13, 2017

Rapid Developments In House v. Burwell

On December 28, 2016, two shots were filed in quick succession in the battle over the cost-sharing reduction (CSR) payments.

December 29, 2016

CMS Releases Manual For Cost-Sharing Reduction Reconciliations

The final manual sets out how this reconciliation process should take place for 2016 and how corrections should be made for 2014 and 2015 cost-sharing reduction (CSR) reconciliations.

December 28, 2016

Court Stays Cost-Sharing Reduction Payment Case, Giving Control To New Administration And Congress (Updated)

A court has stayed proceedings until at least Feb. 21, 2017 in a case brought by the House of Reps. challenging government payments to insurers to reimburse them for reducing cost sharing for lower-income marketplace enrollees. The suit is now the new administration and Congress’s responsibility.

December 5, 2016

House Seeks Pause In Cost-Sharing Reduction Litigation (Updated)

In light of the incoming new administration, the House is seeking to pause its litigation challenging cost-sharing reduction payments to insurers under the ACA. Simply stopping the payments could throw the individual insurance market into chaos, but a simple solution is available.

November 22, 2016

ACA Round-Up: Latest CDC Uninsured Data And More (Updated)

On November 2, the CDC’s National Center for Health Statistics released its quarterly report on health coverage, for January to June 2016. The dramatic reductions in the number of the uninsured that have occurred over the past three years as the ACA has been implemented have leveled off for 2016.

November 4, 2016

Government Files Brief In House v. Burwell; ASPE Lays Out 2017 Plans And Premiums (Updated)

On October 24, HHS and Treasury filed their initial brief in their appeal of House v. Burwell in the DC Circuit Court of Appeals. On the same date, Healthcare.gov opened for window shopping for 2017 plans and ASPE released a report on 2017 Marketplace health plan choice and premiums.

October 25, 2016

Alaska Reinsurance Plan Could Be Model For ACA Reform, Plus Other ACA Developments

The Alaska legislature passed a bill with a statute recreating the state's high-risk pool as a reinsurance fund. In other ACA news, New Mexico has issued a bulletin allowing insurers to cease cost-sharing reductions if the House succeeds in House v. Burwell, the IRS released further guidance...

June 16, 2016

Judge Rules Against Administration In Cost-Sharing Reduction Payment Case

Federal district court judge Rosemary Collyer agreed with the House of Representatives that Congress has not appropriated funding to reimburse insurers for cost-sharing reduction payments. She stayed her decision pending appeal, but if upheld the holding could destabilize insurance markets.

May 12, 2016

HHS Analyzes 2016 Marketplace Premiums As 2017 Proposals Come In

Insurers began filing their 2017 QHP proposals with the federally facilitated marketplace on April 11, 2016, however some insurers are likely to propose significant rate increases for 2017. An Issue Brief released on April 12, 2016 by ASPE, however, seeks to put proposed premium increases in...

April 12, 2016