A final order was issued on Oct. 5 to the Centers for Medicare & Medicaid Services (CMS) to pay Montana Health Co-op over $1.2 million after a Sept. 4 ruling stating insurers are entitled to cost-sharing payments under the Affordable Care Act (ACA).
Judge Elaine Kaplan of the Court of Federal Claims sided with Montana Health regarding their argument that the government’s refusal to pay health insurers their cost-sharing reduction payments is in violation of the ACA.
The Sept. 4 ruling read, in part: “the statutory language clearly and unambiguously imposes an obligation on the Secretary of HHS to make payments to health insurers that have implemented cost-sharing reductions on their covered plans as required by the ACA.”
The $1.2 million is the calculated amount the government would have owed Montana Health in the fourth quarter of 2017. Montana Health requested the Court enter a final order for the sum and the request was upheld.
Read the full final order here.
For more on the Sept. 4 ruling, check out Becker’s Hospital Review.