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Blue Shield of Calif. rakes in $1B ACA risk-adjustment payment
Modern Healthcare: Blue Cross and Blue Shield insurers once again racked up some of the largest risk-adjustment payments under an Affordable Care Act program meant to discourage individual and small-group insurers from cherry-picking healthy employees, CMS data show.
Blue Shield of California is set to receive the largest single risk-adjustment payment of $1.04 billion across the individual, catastrophic and small-group markets, according to Modern Healthcare's analysis of CMS data released Friday. The analysis excluded the high-cost risk pools and merged markets.
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