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Ruling in Problem to Market Rule: Preliminary Evaluation and Implications for States 


Ruling in Problem to Market Rule: Preliminary Evaluation and Implications for States 


By Jason Levitis* and Sabrina Corlette

On August 22, a federal District Court docket decide in Maryland stayed, on a nationwide foundation, the implementation of a number of provisions within the Facilities for Medicare & Medicaid Companies (CMS) “Market Integrity” closing rule. Among the stayed provisions are efficient instantly, creating the necessity for quick implementation selections by states. 

The plaintiffs within the case, Metropolis of Columbus v. Kennedy, sought aid from eight provisions of the ultimate rule. The District Court docket decide granted an emergency keep of six of the eight provisions, discovering that the plaintiffs had proven a “robust chance” of success of their claims in opposition to these provisions. The federal authorities now has the choice to both attraction or search an emergency keep of the district courtroom’s ruling from the Fourth Circuit Court docket of Appeals. 

Of their newest Professional Perspective for the Robert Wooden Johnson Basis’s State Well being & Worth Methods program, Jason Levitis and Sabrina Corlette assessment the courtroom’s ruling and its implications for state-based Marketplaces and insurance coverage regulators. You’ll be able to learn the complete submit right here.

*Jason Levitis is a Senior Fellow on the City Institute.

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