CMS Ruling—A Problem for Providers

Nov 10, 2016

CMS is enforcing the stop-loss deductible limits. Therefore this means higher premiums for providers.

We have been following this issue in the industry and directly with our clients.  Because of this we recommend you check the CMS ruling.  We helped our clients by combining memberships from the Health Plans they are capitated with. As a result the combined membership allowed a higher deductible limit. This reduced premium.

Not all carriers were willing to quote at the lower deductible levels–but we were able to find several that did. As a result we got the quotes and depending on the premium value we were able to provide rate payment options.

Call us with any questions. We are happy to help. (818) 541-7900