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CMS Releases Proposed 2014 Star Ratings Methodology

Client Alert | less than 1 min read | 12.12.12

November 30, CMS released its proposed methodology for 2014 Star Ratings for Medicare Advantage and Prescription Drug Plans, also referred to as Plan Ratings. It also includes some potential changes for the 2015 Star Ratings and beyond to give plans advance notice. Comments are due January 3, 2014.


Insights

Client Alert | 4 min read | 03.25.26

NAIC Intensifies AI Regulatory Focus: What Health Insurance Payors Need to Know

The National Association of Insurance Commissioners (NAIC) is intensifying its oversight of how insurers use AI — and the pace of regulatory activity shows no signs of slowing. Over the past several months, the NAIC has published a formal Issue Brief staking out its position on federal AI legislation, launched a multistate AI Evaluation Tool pilot aimed at examining insurers’ AI governance programs, and continued to expand adoption of its AI Model Bulletin across state lines. These developments continue a trend towards enhancing regulation; the NAIC adopted AI Principles in 2020 and a Model Bulletin in 2023 clarifying that existing insurance laws apply to AI systems and establishing expectations for governance, documentation, testing, and third-party oversight. That Model Bulletin has now been adopted in approximately 24 states....