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BLUE CROSS & BLUE SHIELD of Rhode Island's processes for approving coverage of services—known as utilization review—were found to be non-compliant with laws and regulations relating to coverage of mental health and substance use disorder benefits by the R.I. Office of the Health Insurance Commissioner in its first market conduct examination of the four health insurers in Rhode Island.

BCBSRI utilization review for mental health and substance-use disorder found deficient...

PROVIDENCE – Blue Cross & Blue Shield of Rhode Island’s processes for approving coverage of services – known as utilization review – were found...

OHIC approves 2019 health insurance rates, including mostly increases but some...

CRANSTON – The Office of the Health Insurance Commissioner published the approved commercial health insurance rates for 2019 on Friday, saying that the rates...

OHIC: Short-term health plans not approved for sale in R.I.

PROVIDENCE - The Trump Administration’s plan to expand access to short-term, limited duration health plans which omit coverage mandated by the Affordable Care Act...
HEALTH INSURANCE COMMISSIONER Marie L. Ganim announced that she has instructed insurers to refile lower rates on group plans renewing in the fourth quarter of 2018 to reflect the recent suspension of the federal health insurance tax. / PBN FILE PHOTO/RUPERT WHITELEY

OHIC reducing small-business rates for suspended health insurance tax in Q4

Correction: A previous version of this story mischaracterized estimated savings for businesses due to the suspension of a federal health insurance tax that had...
HSRI AND OHIC announced the establishment of a health insurance Market Stability Workgroup designed to suggest state-level solutions to lower health insurance costs and stabilize the health insurance market. / BLOOMBERG FILE PHOTO/ANDREW HARRER

R.I. establishes health insurance market stability workgroup

PROVIDENCE – HealthSource RI and the Office of the Health Insurance Commissioner announced the establishment Tuesday of the Market Stability Workgroup, a collection of...
THE TURN OF THE CALENDAR YEAR triggered changes in Rhode Island tax law, minimum wage and transferred federally mandated ACA-related responsibilities to the Office of the Health Insurance Commissioner. / PBN FILE PHOTO/NICOLE DOTZENROD

With new year, new R.I. rules take effect

PROVIDENCE – With the advent of the new calendar year, new provisions from the fiscal 2018 budget have taken effect. The 2018 fiscal year budget...
THE OFFICE OF THE HEALTH Insurance Commissioner and HealthSource RI announced that new rates for silver-level plans in the individual health insurance market place will increase 18-20 percent due to the elimination of Cost Sharing Reduction payments to insurers from the federal government. However, these increases will largely be offset by federal tax credits as mandated by law. / BLOOMBERG FILE PHOTO/ANDREW HARRER

OHIC announces new 2018 rates in response to Trump’s CSR cut

PROVIDENCE – The R.I. Office of the Health Insurance Commissioner has approved new rates increases for HealthSource RI’s silver-level health plans sold on the...
PRELIMINARY ESTIMATES see health insurance rates in the Rhode Island individual market rising between 13.5 percent and 20.3 percent over 2017 due to the elimination of Cost Sharing Reduction subsidies. / BLOOMBERG FILE PHOTO/ANDREW HARRER

OHIC expects double-digit health insurance rate increases

PROVIDENCE —  The R.I. Office of the Health Insurance Commissioner reported that preliminary estimates of individual market health insurance rates see insurance premiums increasing between...
THE SENATE GOP has revived its effort to repeal the Affordable Care Act but is running out of time to pass the measure with a simple majority. / BLOOMBERG FILE PHOTO/ANDREW HARRER

ACA reform stalls as GOP takes second shot at repeal

PROVIDENCE — HealthSource RI Executive Director Zach Sherman’s hopes for health insurance market-stabilizing legislation were dashed Tuesday when U.S. Senate Health, Education, Labor &...
AS COSTS RISE: A chart showing the total percentage of primary care spending of total health care spending. Actual figures are higher than the state mandate as a result of individual companies' investment beyond regulatory requirements. / COURTESY OHIC

Primary care investment slowed rising health care costs in R.I.

PROVIDENCE –  Annual check-ups and acute care for urgent illness don’t keep people healthy long-term, so Rhode Island’s Office of the Health Insurance Commissioner...
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