In the last newsletter we announced that  Neighborhood Health Plan reached an agreement with the Division of Insurance (DOI) regarding 2nd quarter rates (April-June).  Here again is the story from the Boston Globe.  As of today, there is no resolution with the other carriers and they continue to appeal the decision to reject 2nd quarter rates. 

 

Last week Harvard-Pilgrim, however, won their appeal.  Their original rates, which were rejected by the DOI, are now final.   

1) When will Harvard-Pilgrim start billing at these new approved rates?

2) Will Harvard-Pilgrim bill retro-actively for the prior months? 
Nobody knows the answer yet!

 

These latest developments are spelled out succinctly in this story from the Boston Business Journal.

Blue Cross, Tufts and Fallon are awaiting their decisions from the appeals panel.  One would anticipate the same result as Harvard Pilgrim.    We will keep you posted and communicate any progress to you immediately!

Sincerely,


Bill Randell,        Vanessa Costa