Stakeholders Weigh in on the Risk Corridor Litigation: Are Public-Private Partnerships At Risk?

On December 10, the U.S. Supreme Court will hear oral arguments in Maine Community Health Options v. U.S., a case concerning the Affordable Care Act’s risk corridors program. This month, nine stakeholders filed amicus briefs in preparation of the arguments and we reviewed these briefs to identify common themes. One key theme emerged from the stakeholders reviewed: that the Court’s decision could negatively impact public-private partnerships. Continue reading

Maryland CO-OP Health Plan Becomes a For-Profit Company

Just hours before President Trump took the oath of office, the Maryland health insurance CO-OP Evergreen Health officially closed a deal with the Centers on Medicare and Medicaid Service (CMS) to sever its ties with the Affordable Care Act’s (ACA) CO-OP program. The company will now transition from a nonprofit to a for-profit company, allowing it to gain an infusion of financing from outside investors. Executives credited the deal with enabling Evergreen to survive and stay competitive. However, it also provides insight into the immense challenges involved in starting up a new insurance company in the current market, even with federal financing. Continue reading