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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...
RHODE ISLAND is accepting public comment on the Office of Health Insurance Commissioner’s new regulation governing health insurance network plans and has scheduled an public hearing on the rules for Sept. 19.

Public comment open for OHIC’s proposed health insurance network regulation

PROVIDENCE — In 2017, The Health Care Accessibility and Quality Assurance Act switched jurisdiction for health insurance network plans from the R.I. Department of...

OHIC: BCBSRI to contribute $5M to Behavioral Health Fund

PROVIDENCE – The R.I. Office of the Health Insurance Commissioner, in the middle of a market conduct examination of the state’s four major insurers’...

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...
THE TRUMP ADMINISTRATION has temporarily halted $10.4 billion in Affordable Care Act risk management payments to insurers, a change that some say will put the "solvency of the market ... at risk."

Latest Trump administration action puts health insurance market ‘at risk’

PROVIDENCE – President Donald Trump’s administration is temporarily halting $10.4 billion in Affordable Care Act risk management payments to insurers. The move could have...

OHIC, HSRI pursue health care reinsurance to reduce 2020 rates

PROVIDENCE — HealthSourceRI and the R.I. Office of Health Insurance Commissioner are pursuing a federal waiver to set up a health care reinsurance program...

Market Stability Workgroup advises R.I. health insurance mandate

PROVIDENCE — The Market Stability Workgroup is recommending a Rhode Island version of the Affordable Care Act’s individual mandate be enacted sooner rather than...
OHIC HAS ANNOUNCED rate increase requests by the state's major insurers for 2019. Above, Marie L. Ganim, the Rhode Island Health Insurance Commissioner, speaks during the October 2017 PBN Health Care Summit. / PBN FILE PHOTO/ RUPERT WHITELEY

OHIC lists health insurance rate increase requests for 2019

PROVIDENCE — The R.I. Office of the Health Insurance Commissioner has released the rate increase requests of the state’s four largest insurers for individual,...
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...
THE PBN SPRING HEALTH CARE Summit addressed a multitude of problems, developments and strengths in the Rhode Island health care market.

PBN 2018 Spring Health Care Summit examines strategic, legislative hurdles to...

PROVIDENCE — Panelists at the 2018 Spring Providence Business News Health Care Summit at the Providence Marriott Friday morning agreed primary care physicians suffer...
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