In the Health Reform Update for this week, insurers threaten to further hike premiums after the Centers for Medicare and Medicaid Services (CMS) unexpectedly suspends $10.4 billion in Affordable Care Act (ACA) risk adjustment payments due from 2017. The agency also dramatically slashes funding for ACA navigators for the second straight year, insisting that in-person enrollment assistance is “ineffective”.
Consumer groups make Nebraska the third state behind Idaho and Utah to let voters decide this fall whether to expand Medicaid under the ACA. Democrats fail to override the Maine Governor’s veto of legislation to fund the Medicaid expansion already mandated by a voter referendum.
Hawaii enacts legislation preserving key ACA consumer protections while Rhode Island becomes the latest state seeking to mitigate premium spikes by creating a reinsurance program that compensates insurers for exceptional claims.