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HCR Update: Grievances & Appeals, Rate Review

Jun 15, 2011

Health Care Reform Update


June 10, 2011



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Health care reform provisions affect grievances and appeals

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.


Now you have a single, reliable resource for health care reform information.

anthem.com/ca/healthcarereform

This content is provided solely for informational purposes: It is not intended as and does not constitute legal advice. The information contained herein should not be relied upon or used as a substitute for consultation with legal, accounting, tax and/or other professional advise

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