August 1, 2018 | Ross Weiler

AIS Health: CMS’s Final Rule on Risk Adjustment May Raise More Uncertainty

Industry experts largely applaud CMS’s issuance of a final rule July 24 to restart the risk adjustment (RA) payment transfer program under the Affordable Care Act (ACA) after three weeks of uncertainty. Starting in August, as originally scheduled, CMS anticipates facilitating the transfer of $10.4 billion in RA amounts to ACA exchange plans for the MORE

July 19, 2018 | Ross Weiler

HealthPayer Intelligence: Pros and Cons of Small Business Health Options Program Health Plans

“Ross Weiler, a principal analyst at Day Health Strategies, says that providing high-performance networks and implementing programs to address chronic diseases could position ACA-compliant small group plans as a market standard. “Payers could add value through high-performing, tiered networks or perhaps through more robust clinical programs and a combination of value-added services to members,” Weiler MORE