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Court affirms CSR reimbursement, but amount still questionable

from Health Payer Intelligence

Court affirms CSR reimbursement, but amount still questionable Health Payer Intelligence On August 14, the Federal Circuit court made two decisions affecting payers which centered around practices meant to lower costs for Affordable Care Act marketplace enrollees: Government reimbursement for silver plan cost-sharing and refundable tax credits meant to lower premiums. The Sanford Health Plan decision affirmed that payers should receive cost-sharing reduction reimbursement from 2017 but the Community Health Choice decision qualified that payers might not be fully compensated based on 2018 premium tax credits. READ MORE

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