CMS Releases Compliance Review Priorities for 2018 Exchange Plans
The Centers for Medicare & Medicaid Services has released its compliance review priorities for 2018 qualified health plans in the federally-facilitated exchanges. While some of the regulatory standards that the Center for Consumer Information & Insurance Oversight will use to perform 2018 QHP compliance reviews are similar to those for the 2017 compliance reviews, they exclude many of the network adequacy standards and QHP quality standards included last year. For more on FFE compliance reviews, visit www.cms.gov.
Related News Articles
Headline
The AHA Aug. 28 published a blog responding to a series of reports from the Paragon Health Institute alleging large-scale “fraud” in health care, this time…
Blog
The Paragon Health Institute has published a series of new reports once again alleging large-scale “fraud” in health care. This time their target is enrollment…
Headline
The Department of Health and Human Services and the Centers for Medicare & Medicaid Services Aug. 21 announced the creation of a Healthcare Advisory…
Headline
Analysis projects increases in state uninsured rates following passage of budget reconciliation bill
A KFF analysis published Aug. 20 provides a state-by-state allocation of Congressional Budget Office estimates that 10 million people could be uninsured by…
Headline
The Centers for Medicare & Medicaid Services today announced a nationwide initiative aimed at reinforcing eligibility standards for Medicaid and the…
Headline
The Centers for Medicare & Medicaid Services has issued the 2025-2026 Medicaid Managed Care Rate Development Guide for states to use when setting managed…