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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 ...

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

Social Security's annual cost-of-living adjustment is supposed to be a simple promise: benefits keep pace with rising prices.

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 ...

Gov. Phil Scott delivers his budget address at the Statehouse in Montpelier on Jan. 28, 2025. Photo by Brian Stevenson / Vermont Public This story, by Report for America corps member Carly Berlin, was ...

On Wednesday, August 8, CMS filed a proposed rule clearing the way for the federal government to continue making payments under the ACA’s risk adjustment program for the benefit year 2018. The 2018 ...

SUMMARY: This notice announces the annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals ...

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 ...

The Education Department has quietly updated the anticipated timeline for borrowers seeking student loan forgiveness under a one-time account adjustment. Here’s the latest. Student Loan Forgiveness ...