Tag Archives: CCIIO

March 20, 2012

Status Report on the Federal Health Insurance Rate Review Program

By Epstein Becker & Green, P.C.

by Jesse M. Caplan and Serra J. Schlanger

Since November 2011 the Center for Consumer Information & Insurance Oversight (“CCIIO”) in the Centers for Medicare & Medicaid Services has completed 22 reviews of health insurance premium rate increase filings in the individual and small group markets. Under the new federal rate review regulations, CCIIO has determined that six of the reviewed premium rate increases represented “unreasonable” increases while 16 of the rate increases were deemed “not unreasonable.”

This Implementing Health and Insurance Reform alert provides a summary and analysis of the completed federal rate review determinations to date. It also provides a link to Epstein Becker Green’s interactive National Health Insurance Rate Review Scorecard, which offers insurance carriers, lawyers, and other stakeholders an up-to-date resource on federal and state health insurance rate review programs, standards, and initiatives.

Read the full alert here

Posted in Legal Updates | North America
Read full article
January 6, 2012

CCIIO Issues Bulletin on Plans to Define the Essential Health Benefits Package: Providing States with a Significant Role While Still Leaving Room for Public Input

By Epstein Becker & Green, P.C.

by Lynn Shapiro Snyder and Lesley R. Yeung

On December 16, 2011, the Center for Consumer Information and Insurance Oversight (“CCIIO”) within the Centers for Medicare & Medicaid Services (“CMS”) released a “bulletin” to provide information and solicit comments on the regulatory approach that the Department of Health and Human Services plans to propose to define essential health benefits (“EHB”) under section 1302 of the Affordable Care Act. The “bulletin” provides information to stakeholders (i.e., consumers, states, employers, and health insurance issuers) about what benefits are likely to be required under the EHB package. CCIIO is proposing to give states a significant role in defining the EHB package by allowing them to select from one of four benchmark health plan types that will serve as the standard for the health plans offered through the new state exchanges starting in 2014. Public comments may be submitted to CMS by January 31, 2012. Comments should be sent to EssentialHealthBenefits@cms.hhs.gov. Stakeholders interested in the EHB package definition process should consider submitting comments and actively engaging in public dialogue with HHS on the process now.

Posted in Legal Updates | North America
Read full article
January 4, 2012

HEALTH REFORM: CCIIO Issues Bulletin on Plans to Define the Essential Health Benefits Package: Providing States with a Significant Role While Still Leaving Room for Public Input

By EBG RSS of Epstein Becker & Green

On December 16, 2011 the Center for Consumer Information and Insurance Oversight (“CCIIO”) within the Centers for Medicare & Medicaid Services (“CMS”) released a “bulletin” to “provide information and solicit comments on the regulatory approach that the Department of Health and Human Services (“HHS”) plans to propose to define essential health benefits (“EHB”) under section 1302 of the Affordable Care Act.”[1] Public comments must be submitted to CMS by January 31, 2012.Comments should be sent to EssentialHealthBenefits@cms.hhs.gov.

Posted in News | North America
Read full article