Tilleman Quoted on CMS Proposed Rule

31 August 2016 Health Leaders News

Health Leaders

Attorney Morgan Tilleman was quoted in a Health Leaders article, “CMS Tries to Shore Up ACA with Proposed Rule. It May Be Too Late,” on August 31, 2016. The article discussed the Centers for Medicare & Medicaid Services proposed changes to the Affordable Care Act and to its method of risk adjustment in an attempt to satisfy the insurance companies struggling with the success of Obamacare. Tilleman explained how concerns over the survivability of the exchanges and concerns from insurers are likely motivating CMS. He was quoted saying, “This year, large risk-adjustment payments have been blamed for exacerbating the financial struggles of some co-ops. Also, a number of lawsuits have been brought against HHS and CMS alleging that the risk adjustment formula is unfair to some issuers. While CMS was likely going to change some of the features of the risk adjustment formula and process regardless, the controversy swirling around risk adjustment may have impacted CMS’s timeline and focused attention on this issue.”

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