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The administration of President Trump said Saturday that he froze payments under an Obamacare program that protects insurers from insurers' financial losses, a move that should increase the cost bonuses next year. 19659002] Billions at stake in payments to insurers with sicker customers are at stake.
In a weekend announcement, centers for Medicare and Medicaid services said the administration is acting due to a court ruling, in dispute for lawsuits filed by some small insurers who are wondering whether they are receiving fair treatment under the program.
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The program says "d & # 39; risk adjustment "takes payments from insurers with healthier clients and redistributes this money to companies with sicker affiliates. Payments for 2017 are $ 10.4 billion. There is no subsidy for the taxpayers involved.
The idea behind the program is to eliminate the financial incentive for insurers to better choose healthier customers. The government uses a similar approach with private health insurance plans and Medicare prescription drug benefits
Leading insurance groups said Saturday that the action of the Medicare
administration interfered with a program that works well.
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The Blue Cross Blue Shield Association, whose membership is one of the pillars of the Affordable Care Act coverage, said that he was "extremely disappointed" with the Action of the administration
. significantly premiums for 2019 for millions of people and small business owners and could result in far fewer health plan options, "said Scott Serota Association president, in a statement
"This will undermine access He added that [traduction]
Serota said that payments are required by law and stated that he believes that the administration has the legal authority to continue to do so. despite the court cases. He warned of "confusion" that insurers have finalized their rates for 2019.
US health insurance plans, the leading business group of the health insurance industry, have said in a statement that he was "very discouraged" by the Trump administration's decision to freeze payments.
"The costs to taxpayers will increase as the federal government devotes more subsidies to premiums," the group said.
Obamacare: A Decision That Would Affect Millions of People
More than ten million people are currently buying individual health insurance plans via HealthCare.gov and the markets of the United States. state insurance.
The vast majority of these clients receive taxpayer grants under the Obama Health Act and would be protected from premium increases next year.
The weight of higher prices would fall on middle-clbad solid consumers who are not eligible Many of them are self-employed and small business owners, usually considered a Republican constituency.
The latest outbreak of "Obamacare" does not affect most people with employer coverage.
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