HHS Adjusts Payments For Pre-Existing Condition Plan

Law360, New York (May 20, 2013, 4:34 PM EDT) -- The U.S. Department of Health and Human Services issued an interim final rule Friday revamping payment rates for its Affordable Care Act-mandated pre-existing condition insurance plan, saying the program would otherwise run out of funding because of higher-than-expected costs.

Under the rule, services provided to beneficiaries of the PCIP program — a group of temporary government-managed high-risk insurance pools for people with pre-existing conditions — will be paid equal to Medicare rates for the same services. Where services have no available Medicare rate, the program will...
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