Plans Say States Bound By Rules To Cover Cost Of Health Insurance Fee

The lobby representing Medicaid managed care plans tells Inside Health Policy that actuarial soundness principles dictate states must absorb the impact of the health law's insurance fee, including its non-deductibility. But CMS has not, and sources suggest may never, issue guidance on the subject, leaving plans and states to hash details out in negotiations. United Health Group said in a recent earnings call that it has an oral commitment from an "overwhelming majority" of states where it sells managed...