Startup Insurers Face High Risk-Adjustment Payouts for 2022 Benefit Year

Participants in the Affordable Care Act risk adjustment program will pay a record $9.24 billion for the 2022 benefit year, according to CMS. Among the 608 issuers that participated in the program, startup insurers owe the highest amounts of payouts, while a handful Blue Cross Blue Shield companies are slated to receive significant payments.

The ACA’s risk adjustment program, launched in 2014, transfers funds from insurers that cover lower-risk enrollees to insurers that cover higher-cost and higher-risk populations in the individual and small group health insurance markets.

0 Comments
© 2024 MMIT
Jinghong Chen

Jinghong Chen Reporter

Jinghong has been producing infographics and data stories on employer-sponsored insurance, public health insurance programs and prescription drug coverage for AIS Health’s Health Plan Weekly and Radar on Drug Benefits since 2018. She also manages AIS Health’s annual executive compensation database for top insurers and Blue Cross and Blue Shield affiliates. Before joining AIS Health, she interned at WBEZ, Al Jazeera English and The New York Times Chinese. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting.

Related Posts

investigation-report
February 3

As CMS Finalizes RADV Rule, Prior Audits Shed Light on Payment Errors, High-Risk Codes

READ MORE
cvs-health-logo
February 16

CVS-Oak Street Deal Could Boost Aetna MA Retention, but Faces Regulatory Risks

READ MORE
businessmen-looking-at-charts
May 26

Risk-Based Primary Care Requires Collaboration, Data Sharing, Insurance Execs Say

READ MORE

GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND

Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today