Tag: risk corridors

COVID-19 and MLR Guidance on Risk Corridor Recoveries: State Options for Restoring Funds to Policyholders and the Public

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The Supreme Court has required the federal government to reimburse health insurers for an estimated $12.3 billion in unpaid risk corridor funds and the Trump administration recently published guidance to insurers that affects the amount to be returned to policyholders. In an Expert Perspective for the State Health & Value Strategies program, Sabrina Corlette and Jason Levitis consider the effects of this guidance and state options for redirecting insurers’ extra cash to benefit policyholders and the public.

As Insurers Return to ACA Marketplaces, SCOTUS Case Looms Large

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The ACA marketplace has seen many disruptions since its implementation but in a sign of greater stability, major insurers are re-entering the marketplace or expanding their footprint. CHIR’s Megan Houston assesses the factors that are driving these insurers’ decisions, just as the ACA faces another challenge from the Supreme Court next month.

Insurers Report on Their Q3 Financial Earnings: Marketplace Profitability, Retail Partnerships, and More

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Last month, health insurers reported on their third-quarter (Q3) financial earnings, offering insights on their yearly performance to date and commenting on the market and regulatory challenges they see ahead. CHIR reviewed the quarterly filings and earnings call transcripts for seven publicly traded health insurers, and found that many continue to experience financial stability in the individual market and are closely monitoring major policy changes that could have an impact on their businesses moving forward.

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

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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.

Court Dismisses Blue Cross and Blue Shield of North Carolina’s Risk Corridor Lawsuit—What About the Other Risk Cases?

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On April 18, the United States Court of Federal Claims dismissed Blue Cross and Blue Shield of North Carolina’s risk corridor lawsuit, ruling that the insurer’s claim was premature. CHIR’s Emily Curran delves into this and other lawsuits filed by health insurers across the country, all of whom seek to recoup critical premium stabilization funding from the federal government.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.