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AHIP Statement on the Freeze of Risk Adjustment Payments for the Individual and Small Group Markets

Source America's Health Insurance Plans (AHIP)
Published Date 7/7/2018
America’s Health Insurance Plans (AHIP) issued the following statement following the Administration’s decision to freeze risk adjustment payments for the individual and small group markets, in light of the decision earlier this year by United States District Court for the District of New Mexico:

“We all agree that Americans deserve affordable, comprehensive coverage and care – regardless of whether they are sick, healthy, or have a pre-existing condition. Because different plans cover different people, the health of the people they serve differs as well. The risk adjustment program helps ensure coverage is available for high-need patients by sharing the cost of covering them. If a plan covers more patients who require more health care services, that plan receives funds from other plans that cover fewer high-need patients – all without using any taxpayer dollars." ...
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