The Centers for Medicare & Medicaid Services (CMS) are tweaking the rules public exchange plan issuers have to follow when they feed plan data into the new federal health insurance risk-management programs.
CMS will now let insurers choose between keeping risk program physical “servers,” or computers, in their offices, or setting up Amazon Cloud accounts that behave like servers. The agency talks about the changes in a filing it used to change the information it can collect for the risk program data filing system.
The insurers that sell qualified health plans (QHPs) through the Patient Protection and Affordable Care Act (PPACA) use the data filing system to send CMS the data the agency needs to run a temporary PPACA reinsurance program and a permanent PPACA risk-adjustment program.
The reinsurance program is supposed to use carrier fee income to pay part of the bill when an insurer has an enrollee with big claims. The risk-adjustment program is supposed to use cash from insurers with many low-risk enrollees to help insurers with many high-risk enrollees.