North Carolina Medical Society - NCMS Bulletin

Volume 62 Issue 36 – September 9, 2011

Featured Stories

NC Seeks Adjustment to Medical Loss Ratio Without Physician Input

State Insurance Commissioner Wayne Goodwin announced Tuesday that the state had requested an adjustment to the applicable medical loss ratio (MLR) standard for individual comprehensive health insurers in North Carolina.

Survey on Sustainable Growth Rate Cuts; Provide Your Input

With the 29.5-percent Sustainable Growth Rate cut set for January 1, 2012, and the ongoing problems with the Medicare fee schedule, physicians report taking, planning, or considering different actions to approach the issue. Share your thoughts by taking part in a brief survey…

PAI Compliance Committee Convenes in Chicago

The Compliance Committee of the Physicians Advocacy Institute (PAI) convened this week in Chicago to continue its ongoing efforts to improve the relationships and interactions between physicians and health plans, particularly now that the long-running managed care settlements have expired.

ACA Provisions Spur Development of Consumer-Driven Health Plans

The 2010 Affordable Care Act (ACA) creates a new type of nonprofit health insurer known as a Consumer Oriented and Operated Plan, or COOP. The first COOPs will begin operating by January 1, 2014. Read on to learn more…