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HomeHealth InsuranceRuling in Problem to Market Rule: Preliminary Evaluation and Implications for States

Ruling in Problem to Market Rule: Preliminary Evaluation and Implications for States

Ruling in Problem to Market Rule: Preliminary Evaluation and Implications for States


By Jason Levita and Sabrina Corlette

On August 22, a federal District Court docket choose in Maryland stayedon a nationwide foundation, the implementation of a number of provisions within the Facilities for Medicare & Medicaid Companies (CMS) “Market Integrity” ultimate rule. A few of the stayed provisions are efficient instantly, creating the necessity for fast implementation choices by states.

The plaintiffs within the case, Metropolis of Columbus v. Kennedysought reduction from eight provisions of the ultimate rule. The District Court docket choose granted an emergency keep of six of the eight provisions, discovering that the plaintiffs had proven a “sturdy chance” of success of their claims towards these provisions. The federal authorities now has the choice to both enchantment or search an emergency keep of the district courtroom’s ruling from the Fourth Circuit Court docket of Appeals.

Of their newest Professional Perspective for the Robert Wooden Johnson Basis’s State Well being & Worth Methods program, Jason Levitis and Sabrina Corlette evaluate the courtroom’s ruling and its implications for state-based Marketplaces and insurance coverage regulators. You possibly can learn the complete publish right here.

*Jason Levitis is a Senior Fellow on the City Institute.

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