Insurers request $2B+ in unpaid ACA payments

Three health insurers filed status reports with the federal government March 5 asking for billions in unpaid cost-sharing reductions payments. While the insurers don’t agree on the estimate, a group of insurers’ class-action lawsuit estimates damages of more than $2 billion, according to Health Affairs.

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The three insurers — Common Ground Healthcare Cooperative, Maine Community Health Options, and Community Health Choice — made the filings to inform the court what they claim is due in unpaid cost-sharing reduction payments for 2017-18. The payments were established under the ACA to help insurers subsidize the cost of coverage for low-income Americans.

The three insurers have their own lawsuits, which are before Judge Margaret M. Sweeney. She will consider the requests and decide the best path forward.

For the full Health Affairs blog post, click here.

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