CMS or­ders in­sur­ers to ac­cept Ryan White pre­mium as­sis­tance

Modern Healthcare - - LATE NEWS - —Joe Carl­son

The CMS late Fri­day or­dered all in­sur­ance com­pa­nies sell­ing plans through in­sur­ance ex­changes to ac­cept pre­mium pay­ments and co­pay­ment as­sis­tance from federal pro­grams such as the Ryan White HIV/AIDS pro­gram.

But the govern­ment con­tin­ued to urge in­sur­ers to re­ject pre­mium as­sis­tance pro­vided by hos­pi­tals, drug com­pa­nies and de­vice­mak­ers.

Un­der­scor­ing the CMS’ con­cern, the agency opted to waive the nor­mal pub­lic com­ment pe­riod and en­force the rules upon their pub­li­ca­tion. That should re­solve a le­gal dis­pute brew­ing in Louisiana, where the state’s largest in­surer was sued for re­ject­ing Ryan White funds to cover hun­dreds of low­in­come people with HIV or AIDS. The pro­gram paid about $400 mil­lion in pre­mium as­sis­tance last year on be­half of 52,568 people. The money was paid to in­sur­ance com­pa­nies on be­half of the ben­e­fi­cia­ries.

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