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Feds Issue New Rules Aimed to Strengthen ACA Market

The Obama administration has issued new rules to address lingering issues with the Affordable Care Act (ACA) even as Republicans push forward with plans to repeal the law...
December 20, 2016

The Obama administration has issued new rules to address lingering issues with the Affordable Care Act (ACA) even as Republicans push forward with plans to repeal the law.

The new rules include changes to the formula used to calculate payments to insurers under a program called risk adjustment, which was designed to shield insurers against financial losses from high-cost enrollees.

The administration also has moved to launch a pilot program to require documentation to make sure people signing up in the ACA’s extra signup periods actually qualify.

“The Administration will leave the Marketplace on a stable path that, when fully implemented, will ensure quality coverage is available for all Americans well into the future,” Andy Slavitt, the head of the Centers for Medicare and Medicaid Services (CMS), which oversees the ACA, said in a statement.

The ACA marketplaces are expected to remain in operation in some form for about two years as Republican lawmakers seek to delay some elements of repeal from taking effect. However, experts warn that even delayed repeal could cause significant disruption to the system