Humana Sues HHS Over Denied PPACA Cost Sharing Reduction Payments

On August 10, 2020, Humana sued the federal Department of Health and Human Services (HHS) to recover cost sharing reduction payments related to Qualified Health Plans (QHP) offered through the Patient Protection and Affordable Care Act (PPACA) health insurance exchanges. The cost sharing reduction payments are subsidies paid to reduce out-of-pocket costs for low-income consumers who purchase silver-level QHPs through the Health Insurance Marketplace.

HHS ended the CSR payments on October 12, 2017, after a legal opinion determined that Congress needed to appropriate the funds in order for the CSR funds to be disbursed. HHS said . . .