Jon Biasetti at Locke Lord LLP

CMS Issues Final Quota Share Reinsurance Rule

As we reported in our QuickStudy on February 13, 2020, CMS filed and made available for public inspection on February 5, 2020, a new proposed rule (the “Proposed Reinsurance Rule”) under the authority of Section 1855(b)(1) of...more

6/19/2020 / Centers for Medicare & Medicaid Services (CMS) , Medicare Advantage , Medicare Advantage Organizations (MAOs) , Proposed Rules , Reinsurance

Opportunity To Comment On CMS’s Proposed Excess Of Loss And Quota Share Reinsurance Rule

As explained in our February 13, 2020 QuickStudy, CMS has proposed a new excess of loss and quota share reinsurance rule. Although it is a welcome development there are significant ambiguities in the proposed rule that we...more

3/31/2020 / Centers for Medicare & Medicaid Services (CMS) , Medicaid , Medicare

CMS Acknowledges Value of Quota Share Reinsurance for MAO Plans and Proposes New Rule to Establish Reinsurance Standards

The Proposed New Reinsurance Rule - Readers of our prior QuickStudies on this topic are aware that since 2017, the long-standing use of quota share reinsurance by Medicare Advantage Organizations (“MAOs”) with respect to...more

2/14/2020 / Centers for Medicare & Medicaid Services (CMS) , Medicare Advantage , Medicare Advantage Organizations (MAOs) , Reinsurance

Troubling and Conflicting Signs from CMS Over the Continued Use of Quota Share Reinsurance by MAO Plans

As we previously reported in our Quick Study dated April 4, 2017, CMS, on April 3, 2017, announced that it had reconsidered its position that quota share reinsurance arrangements are not a statutorily permitted form of...more

6/18/2019 / Centers for Medicare & Medicaid Services (CMS) , Medicare Advantage , Medicare Advantage Organizations (MAOs) , Reinsurance

CMS Reconsiders Its Position Prohibiting Quota Share Reinsurance For Medicare Advantage Organizations

We previously reported on February 13, 2017 that the Centers for Medicare & Medicaid Services (CMS), on February 1, 2017, in connection with its 2018 Advance Notice (Notice), advised that quota share reinsurance arrangements...more

4/5/2017 / Call Letter , Centers for Medicare & Medicaid Services (CMS) , Medicare Advantage , Medicare Advantage Organizations (MAOs) , Reinsurance

No Quota Share Reinsurance For Medicare Advantage Organizations, Says CMS

On February 1, 2017, the Centers for Medicare & Medicaid Services (CMS), in connection with its 2018 Advance Notice (the Notice), advised that quota share reinsurance arrangements are not a statutorily permitted form of...more

2/14/2017 / Centers for Medicare & Medicaid Services (CMS) , Medicare Advantage , Medicare Advantage Organizations (MAOs) , Reinsurance

In it Together -- Emerging Joint Venture Structures for Hospitals and Insurers

Locke Lord lawyers Jon Biasetti, Baird Allis and Benjamin Sykes provide a detailed look at recent efforts by hospitals, physician practice groups and health insurance and managed care companies to lower health care delivery...more

2/26/2015 / Affordable Care Act , Health Care Providers , Hospitals , Insurance Industry , Joint Venture , Physicians

Jon Biasetti

Locke Lord LLP

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