Judges Find United States Owes Insurers Under ACA Cost-Sharing Program

Mealey's (February 21, 2019, 12:03 PM EST) -- WASHINGTON, D.C. — Congress created an implied contract when it implemented the Patient Protection and Affordable Care Act (ACA) cost-sharing program, an obligation it breached when it never authorized payments, a pair of U.S. Court of Federal Claims judges held in a trio of rulings issued Feb. 14 and Feb. 15 (Community Health Choice Inc. v. The United States, No. 18-5C, Common Ground Healthcare Cooperative v. The United States, No. 17-877C, Local Initiative Health Authority, et al. v. The United States, No. 17-1542C, Fed. Clms.)....