Feds reject proposals by Alaska and Wisconsin
by Jesse M. Caplan and Serra J. Schlanger
The federal rate review program requires that the Centers for Medicare & Medicaid Services establish state-specific thresholds for the following year’s rate review program by June 1. This year, only two states, Alaska and Wisconsin, submitted state-specific threshold proposals to the Center for Consumer Information and Insurance Oversight. Both of these requests were denied on June 1. This health reform alert provides a summary of the state-specific threshold guidance and proposals and discusses potential trends for rate review state-specific thresholds and the implications for federal rate review.
Adam L. Zavadil, a Summer Associate (not admitted to the practice of law) in Epstein Becker Green’s Washington, DC, office, contributed significantly to the preparation of this alert.