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CMS runs a risk-adjustment program, based on enrollee health risk scores, in an effort to keep the issuers from taking on more than their fair share of enrollee health risk. (Photo: Shutterstock)

America’s Health Insurance Plans (AHIP) is blasting efforts by the Trump administration to recoup what Medicare managers see as excess risk-adjustment payments to Medicare Advantage plan providers.

The Centers for Medicare and Medicaid Services (CMS), the agency that oversees Medicare, wants to eliminate an adjustment mechanism that that’s supposed to make spending on traditional Medicare coverage and Medicare Advantage plan coverage actuarially equivalent.

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