Filed Under:Health Insurance, Individual Health

Feds post PCIP regs

CMS Director Marilyn Tavenner (CMS photo)
CMS Director Marilyn Tavenner (CMS photo)

Managers of the Pre-existing Condition Insurance Plan (PCIP) say health care providers will have to share some of the program's financial pain.

The federal PCIP program run by the U.S. Department of Health and Human Services (HHS) will set most reimbursement levels at just 100 percent of the Medicare reimbursement rates, officials said in a new interim final rule that is set to appear in the Federal Register May 22.

The drafters of the Patient Protection and Affordable Care Act of 2010 (PPACA) created PCIP to provide major medical coverage for people with serious health problems at prices comparable to the rates healthy people pay for commercial coverage.

PCIP -- pronounced "P sip" -- was supposed to provide temporary relief, with the understanding that the sick people in the program would be able to get ordinary commercial coverage in January 2014, when new PPACA restrictions on medical underwriting are set to take effect.

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Nichole Morford

Nichole Morford
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