Stay updated with breaking news from Ted Doolittle. Get real-time updates on events, politics, business, and more. Visit us for reliable news and exclusive interviews.
Taxpayers footed the bill for care that should have cost far less, according to records released under the Freedom of Information Act. The U.S. government may charge insurers $650 million as a result.
Officials at CMS have said they intend to extrapolate the payment error rates from those samples across the total membership of each plan.
In the middle of a public hearing last summer, after several insurance companies had proposed double-digit rate increases on their health care plans, Attorney General William Tong posed a series of qu...
In the middle of a public hearing last summer, after several insurance companies had proposed double-digit rate increases on their health care plans, Attorney General William Tong posed a series of questions that summed up the concerns of many who gathered at the state’s Legislative Office Building that day. “My understanding is that an actuarial analysis is undertaken to make sure an insurance company has enough assets to pay liabilities, right? That’s what the analysis shows: ‘Do you have enough money to pay claims?’” he asked.
:quality(70)/cloudfront-us-east-1.images.arcpublishing.com/tronc/DXZXK5FZDFAWPMANYA4E6D57BQ.jpg)
Lawmakers frustrated by the high rate request this year say they plan to introduce a bill during the legislative session that begins in January that would change the state’s rate review process to include consumer affordability as a standard.