HHS set to re­view dou­ble-digit in­surance hikes in 10 states

Modern Healthcare - - Late News -

HHS will re­view dou­ble-digit health in­surance rate in­creases in 10 states where it has deemed rate reg­u­la­tion is too weak for states to do it them­selves, ac­cord­ing to the CMS Cen­ter for Con­sumer In­for­ma­tion and In­surance Over­sight. The Pa­tient Pro­tec­tion and Affordable Care Act gave states and the fed­eral gov­ern­ment the au­thor­ity to re­view rate in­creases on the in­di­vid­ual and small-group mar­kets and re­quire in­sur­ers to jus­tify rate hikes above 10%, start­ing Sept. 1. As of July 1, 43 states have ef­fec­tive rate re­view in at least one in­surance mar­ket, ac­cord­ing to the CMS. In three states, the fed­eral gov­ern­ment will part­ner with the state to con­duct re­views. And in seven states and four U.S. ter­ri­to­ries, fed­eral of­fi­cials will con­duct the re­views. The CMS will con­tinue to ac­cept in­for­ma­tion from the states on the mat­ter and mon­i­tor states “in or­der to en­sure cor­rect clas­si­fi­ca­tion,” ac­cord­ing to the CMS. States where the CMS will take over the re­view process are Alabama, Ari­zona, Idaho, Louisiana, Mis­souri, Mon­tana and Wy­oming. Mean­while, in Iowa, Penn­syl­va­nia and Vir­ginia, fed­eral reg­u­la­tors will part­ner with states to do the re­views.

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