Contrary to Republicans' public statements, programs of the Affordable Care Act that compensate insurers who end up with higher than average claims are working just as they were designed to do.

Modern Healthcare reports on a study published in the journal Health Affairs that finds the two premium stabilization programs contained in the ACA, risk adjustment and reinsurance, made the biggest payouts to insurers that sold plans on the individual market in 2014 and 2015 and ended up receiving the highest cost claims.

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