Business · 07/12/2011

CMS Finalizes Medical Loss Ratio Rule to Address 'Mini-Med' and Expatriate Policies, ICD-10 Conversion Costs, and Rebate Distribution

The Centers for Medicare & Medicaid Services (CMS) has released a final rule with a comment period to revise medical loss ratio (MLR) regulations under the Patient Protection and Affordable Care Act (ACA), addressing issues with 'mini-med' and expatriate policies, ICD-10 conversion costs, community benefit expenditures, and rebate distribution in group markets.