Hospitals Ask CMS To Clarify Payment Rule For PCIP Plans

Law360, Washington (July 22, 2013, 2:55 PM EDT) -- The American Hospital Association urged the Centers for Medicare and Medicaid Services on Friday to reconsider their payment rate guidelines for the Affordable Care Act-mandated pre-existing condition insurance plans, saying the agency's interim final rule is confusing and ambiguous.

Although CMS tried to simplify the revamped payment rates in May for the PCIP program — a group of temporary government-managed high-risk insurance pools for people with pre-existing conditions — by saying services provided to beneficiaries would be paid equal to Medicare rates for the same services,...
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