Tag Archives: cost-sharing reduction payments

Iowa Waiver Application Presents Crucial Decision Point For Administration; Judge Rebuffs EEOC On ADA/GINA Rules

If CMS approves Iowa’s 1332 waiver application rewriting parts of the ACA, other states unhappy with the law will surely follow Iowa’s example. Also, a judge found that the EEOC had not sufficiently justified its approval of incentives for employee release of medical and genetic information.

August 24, 2017

ACA Round-Up: Hospital Nonprofit Status, ACA Nondiscrimination Litigation, And More

A round-up of ACA-related developments, including hospital compliance with requirements for nonprofit status, litigation over protections against gender identity and pregnancy termination discrimination, a decision to continue CSR payments next month, developments on “bare” counties, and more.

August 18, 2017

Terminating CSR Payments Would Increase Deficits, CBO Finds

On August 15, CBO and JCT released an analysis of the potential effects of terminating the ACA’s cost-sharing reduction (CSR) payments to insurers. The CBO affirms what earlier analyses have concluded: in the long run the primary loser if CSR payments are terminated would be the federal budget.

August 15, 2017

If The Trump Administration Terminates Cost-Sharing Reduction Payments, States Can Use 1332 Waivers To Fund Their Own

Creating a State-administered CSR mechanism will undoubtedly require expenditure from the State. While some will argue that the limited resources in State budgets would render the idea all but theoretical, it would be beneficial to examine how States can use Section 1332 to fund CSRs.

August 15, 2017

New Guidance On CSR Payments And Risk Adjustment: Answers … And More Questions

The ongoing saga of the cost-sharing reductions just got stranger. On August 10, 2017, the Centers for Medicare and Medicaid Services released at their REGTAP.info website a guidance on risk adjustment methodology and rate filing deadlines.

August 11, 2017

What Could Happen If The Administration Stops Cost-Sharing Reduction Payments To Insurers?

The decision allowing 17 state attorneys general to join the House v. Price cost-sharing reduction litigation complicates the President’s ability to stop the CSR payments, but rumors that he will do so continue. This post focuses on issues that will arise if the administration defunds the CSRs.

August 2, 2017

ACA Round-Up: A Double-Threat Presidential Tweet, Cassidy-Graham-Heller, Bipartisan Market Stabilization Ideas, And Good News From Ohio

Although the high drama of the Senate debate on repeal of the Affordable Care Act seems to be over for the time being, health care reform remains in the headlines.

July 31, 2017

Republican ACA Replacement Effort Collapses; States Defend House v. Price Intervention Request

On July 17, GOP efforts to pass an ACA replacement collapsed as Sens. Mike Lee (UT) and Jerry Moran (KS) said they would oppose the bill. On the same day, attorneys general from 17 states filed a brief in support of their motion to intervene in House v. Price.

July 18, 2017

ACA Round-Up: Medicare Trustees Report Does Not Trigger IPAB, And More

All eyes yesterday were focused on the Senate, which released significant new amendments to the Better Care Reconciliation Act. But the Senate was not the only game in town.

July 14, 2017

House, Administration Oppose State Intervention In House v. Price; New Developments In ACA Section 1557 Case

The House and HHS have opposed the motion by 18 state attorneys general to intervene in the government’s appeal of House v. Price. Also, there are two new decisions in the challenge to protections against discrimination because of gender identity and termination of pregnancy under ACA Section 1557.

July 11, 2017