The U.S. Government Accountability Office has agreed with House Republicans in a dispute that could cost issuers of individual health coverage about $2 billion.
The GAO, a congressional watchdog agency, says the U.S. Department of Health and Human Services must pay billions of Affordable Care Act reinsurance program revenue to the Treasury first before making reinsurance program payments to health insurers, according to a new GAO legal ruling.
The text of the Patient Protection and Affordable Care Act of 2010, one of the laws that makes up the ACA package, requires most insurers and health plans to contribute a flat per-enrollee fee to a fund that's supposed to protect individual health issuers against part of the cost of covering enrollees with catastrophic claims in 2014, 2015 and 2016.
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Allison Bell
Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.
