On December 28, 2021, the U.S. Department of Health and Human Services (HHS) issued a 408-page proposed 2023 Notice of Benefit and Payment Parameters alongside a press release, fact sheet, guidance on ...

Forbes contributors publish independent expert analyses and insights. Adam Minsky is an attorney and writer focusing on student loans. The Biden administration on Wednesday announced that it is ...

Financial struggles at Bright Health Group and Friday Health Plans have raised concerns about how well the Affordable Care Act's (ACA's) risk adjustment program is working, especially whether it's ...

Five Kaiser Permanente affiliates have agreed to a record-breaking $556 million settlement with the Department of Justice ...

CMS released a proposed rule May 29 to change the methodology of HHS’ risk adjustment data validation, or RADV, program. HHS’ risk adjustment program provides payments to health insurers who have ...

Medicare’s upcoming health equity adjustment in the Hospital Value-Based Purchasing (HVBP) program will reduce disproportionate penalization among safety net hospitals and those serving high ...

Managers of the ACA CO-OPs that survived in 2017 have argued that the risk-adjustment program rules discriminate against smaller, newer, cheaper plans. Ongoing problems with the Affordable Care Act ...