During a joint session today, the Executive and Plenary committees of the National Association of Insurance Commissioners (NAIC) voted to adopt a model regulation containing the definitions and methodologies for calculating medical loss ratios as required by the Patient Protection and Affordable Care Act (PPACA).
Legislation passed in 2005 that requires a 3% withholding from payments made by governmental agencies will impact the Medicare program starting January 2, 2012, meaning physicians, hospitals and other providers could receive only 97% of what they are owed from Medicare.
The Centers for Medicare and Medicaid Services (CMS) held a special open door forum this week regarding the Physician Quality Reporting Initiative (PQRI) and the Electronic Prescribing (eRx) Incentive Program.
