NASHCO Statement on Announced CMS Rules on CO-OP Governance, Special Enrollments, and Risk Adjustment

May 6, 2016


WASHINGTON, DC – Kelly Crowe, CEO of the National Alliance of State Health CO-OPs (NASHCO), made the following statement regarding CMS rules released today regarding CO-OP Governance, Special Enrollment periods, and state approaches to Risk Adjustment:


“Access to additional capital has long been one of the CO-OPs’ top concerns, and we appreciate CMS’s willingness to clear some of the governance hurdles that have made investing in the CO-OPs difficult for potential investors. In addition, closing the special enrollment period loophole is a positive development for CO-OPs and all marketplace insurers.


“We also applaud CMS for acknowledging that states have the authority to consider local market solutions to address the impacts of an unpredictable risk adjustment program on small and rapidly growing health insurers, including CO-OPs. We look forward to working with the individual state regulators to find equitable solutions to this challenge as CMS considers broader changes to risk adjustment.”