Appeals court ruling costs health insurers billions in subsidies
The ACA risk corridors program was supposed to use cash from health insurers that did well in the ACA public exchange program to help those that did poorly.
By Allison Bell|June 14, 2018 at 02:23 PM
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A federal appeals court panel today issued a 2-1 ruling that could cost some health insurers billions of dollars in Affordable Care Act subsidy program payments, and could push all federal vendors to determine whether the payment arrangements they have with the federal government are actually contracts.
A three-judge panel at the U.S. Court of Appeals for the Federal Circuit issued the ruling on Moda Health Plan Inc. v. the United States (Case Number 2017-1994). The panel also issued a related ruling, on Land of Lincoln Mutual Health Insurance Company v. United States, that echoes the effects of the Moda Health ruling.
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