Health Reform: New Rules Issued on Medical Loss Ratio Requirements, as appeared in BNA’s Health Insurance ReportFebruary 1, 2012
Gretchen Harders, a Member of the Firm in the Employee Benefits practice, in the New York office, Joseph Kempf, a Senior Attorney in the Health Care and Life Sciences practice, in the New York office, and Daly Temchine, a Member of the Firm in the Health Care and Life Sciences and Litigation practices, in the Washington, DC, office, cowrote an article titled "Health Reform: New Rules Issued on Medical Loss Ratio Requirements."
Following is an excerpt:
On Dec. 7, 2011, the U.S. Department of Health and Human Services (''HHS'') and the Centers for Medicare & Medicaid Services (''CMS'') issued a final rule1 (the ''Final Rule'') revising medical loss ratio (''MLR'') requirements under the Patient Protection and Affordable Care Act (''PPACA''), as well as an interim final rule2 (the ''Interim Final Rule'') specifically addressing the rebate requirements for nonfederal governmental plans (the Final Rule and the Interim Final Rule are collectively the ''Rules'').
Reproduced with permission from BNA's Health Insurance Report, Vol. 18, No. 5, (2/1/2012), The Bureau of National Affairs, Inc. (800-372-1033) www.bna.com.