CMS runs a risk-adjustment program, based on enrollee health risk scores, in an effort to keep the issuers from taking on more than their fair share of enrollee health risk. (Photo: Shutterstock)
America's Health Insurance Plans (AHIP) is blasting efforts by the Trump administration to recoup what Medicare managers see as excess risk-adjustment payments to Medicare Advantage plan providers.
The Centers for Medicare and Medicaid Services (CMS), the agency that oversees Medicare, wants to eliminate an adjustment mechanism that that's supposed to make spending on traditional Medicare coverage and Medicare Advantage plan coverage actuarially equivalent.
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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.
