Federal Judge Validates ACA Risk Corridors; Government Could Be on Hook for Billions

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Federal Judge Validates ACA Risk Corridors; Government Could Be on Hook for Billions

Mar, 29th 2017

Moda Health, a small Oregon health insurer, just won a $214-million judgment against the federal government. Normally that wouldn’t be worth reporting, except that in awarding Moda the money, the federal judge in the case dismantled the most cynical attack on the Affordable Care Act that congressional Republicans had devised.

The issue was the Affordable Care Act’s risk corridor program, which was devised to shelter insurers from unexpected losses in covering Affordable Care Act customers from 2014 through 2016. To encourage insurers to enter an entirely novel market, the program aimed to balance risks by taking funds from insurers that turned out to be unexpectedly profitable and use the money to cushion others’ losses. The model was provisionally written into Medicare’s prescription drug program, Part D, which went into effect...

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