CMS to Perform Rate Reviews in 10 States
In addition to Idaho and Montana, CMS will handle reviews in the individual and small group market for Alabama, Arizona, Louisiana, Missouri and Wyoming. It will also handle reviews in the small group market for Iowa, Pennsylvania and Virginia; those states will handle their own rate reviews for the individual market.
A CMS spokesperson said the agency will continue to work with the 10 states to align their rate review efforts with ACA regulations, which call for rate increases of 10% or more to be reviewed. Insurers must publically disclose the increases and justify the request to raise premiums.
Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
- MU Compliance Announcement Sparks Concern, Confusion
- New G-Codes to Pay Doctors for Broad Array of Non-Face-to-Face Care
- Scary Financial Challenges for 2014
- Telehealth Improves Patient Care in ICUs
- CMS Sets 2014 Pay Rates for Hospital Outpatient and Physician Services
- LifePoint Bolsters Presence in Michigan's Upper Peninsula
- 1 in 5 CT Screenings for Lung Cancer Results in Overdiagnosis
- States Rejecting Medicaid Expansion Forgo Billions in Federal Funds
- Douglas Hawthorne—A Chance to Do Something Big
- MGMA Urges 'End-to-End' ICD-10 Testing