As we continue to move forward with the implementation of health care reform, we have received questions about our implementation of the new requirements around grievances and appeals. Here is a list of the most commonly asked questions related to this provision. Keep in mind we continue to receive guidance and more information from the federal government, so this information is likely to change and be updated as we move forward.
Health care reform provision at a glance: rate review
The Affordable Care Act or health care reform law requires the secretary of the U.S. Department of Health and Human Services to establish a process, in conjunction with the states, to review "unreasonable" premium increases. This fact sheet outlines the guidance we've received so far.