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
Two clinicians and a vehicle — that's the model Sheppard Pratt has been using to give behavioral health access to its communities. In this conversation, Jason…
Headline
The White House this week announced plans to improve health insurance for consumers, with a particular focus on easing claims and appeals processes. In a…
Headline
More than 46 million prior authorization requests were submitted to Medicare Advantage insurers in 2022, according to KFF analysis released Aug. 6 examining…
Headline
UnitedHealth Group Aug. 1 announced the creation of a gold card program for qualified practices. Under the program, the practices that earn gold card status…
Headline
A Commonwealth Fund report published Aug. 1 examines how frequently insured, working-age adults are denied care by insurers; how often they are billed for…
Headline
Mary Thompson — a member of AHA’s Committee on Behavioral Health and president of Trillium Place, a mental health and addiction recovery organization…