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Ten of 11 insurers opted for the lower payments.
Sometimes, lower payments can be negotiated with the I.R.S., tax experts say.
Springleaf noted that in other bankruptcy cases it has agreed to lower payments.
But they will have benefited from lower payments during those potentially expensive first few months.
When Libor was pushed down by the banks, Freddie Mac received lower payments from the swaps.
Not surprisingly, Republicans as well as many anxious Democrats implored CMS not to lower payments.
Many hospitals are struggling with lower payments from the federal government and declining patient admissions.
Plans receive higher payments for sicker enrollees and lower payments for healthier enrollees.
The Romney campaign argued that lower payments would lead to fewer services.
Extra spending would help lift the economy, and lower payments might spare some people from losing their homes to foreclosure.
Many, he said, carried 30-year mortgages and used the money saved by lower payments to invest in stocks.
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