Washington – Trump Administration Halts Billions In Insurance Payments Under Obamacare

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    FILE - A reporter reads a summary of the performance and usage over the first two days of open enrollment of the Massachusetts Health Connector website, the state's health insurance website under the Affordable Care Act or Obamacare, during a briefing for reporters in Boston, Massachusetts November 17, 2014. REUTERSWashington – The Trump administration on Saturday halted billions of dollars in payments to health insurers under the Obamacare healthcare law, saying that a recent federal court ruling prevents the money from being disbursed.

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    The Centers for Medicare and Medicaid Services, which administers programs under the Affordable Care Act, said the action affects $10.4 billion in risk adjustment payments.

    President Donald Trump’s administration has used its regulatory powers to undermine Obamacare after the Republican-controlled Congress last year failed to repeal and replace the law. About 20 million Americans have received health insurance coverage through the program.

    The payments are intended to help stabilize health insurance markets by compensating insurers that had sicker, more expensive enrollees in 2017. The government collects the money from health insurers with relatively healthy enrollees, who cost less to insure.

    CMS, which is overseen by the U.S. Department of Health and Human Services, said the move was necessary because of a February ruling by a federal court in New Mexico, which found that the federal government was using an inaccurate formula for allocating the payments.

    “We were disappointed by the court’s recent ruling. As a result of this litigation, billions of dollars in risk adjustment payments and collections are now on hold,” CMS Administrator Seema Verma said in a statement.

    A federal court in Massachusetts upheld the same allocation formula in January.

    The CMS statement said the agency has asked the New Mexico court to reconsider its decision and expressed hope for a prompt resolution of the issue.


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    15 Comments
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    5 years ago

    Reuters fake news alert Its was the courts that halted payments not trump . The same courts that you guys love for blocking travel bans .

    Fake fake news

    BH-Baby
    BH-Baby
    5 years ago

    One Federal court (in Massachusetts) said that the formula was good.
    Another Federal court (in New Mexico) said the formula was inaccurate.

    A simple solution:

    Whatever details of this allocation formula are agreeable to the New Mexico court … PAY!!!

    Whatever details of the allocation formula are similar, PAY the lesser of the debatable costs [eg: If ‘Formula MA’ says Medical Widget reimbursement is 84%, and ‘Formula NM’ says Medical Widget reimbursement should be 83%, then pay 83%. The remainder will be (un)paid pending court’s decision.]

    Then expedite the legal process and request that a higher court will hear this case ASAP.

    THAT is caring that the laws be faithfully executed.

    hashomer
    hashomer
    5 years ago

    Toxic Trumpf killing health insurance to 20 million American citizens. How’s that making America great? What a rasha he is. FEH.

    Vvvvv
    Vvvvv
    5 years ago

    Look how may comments yoni posted on different screen names.,.and then right after, coincidentally we have hashish-shomer. What a crew. Lol