RADAR on Medicare Advantage Quotes Chicago Partner Jon Biasetti on CMS' Inconsistent Standards for Allowing Quota Share Reinsurance Agreements

Jon Biasetti, Chicago Partner and Co-Chair of Locke Lord’s Regulatory and Transactional Insurance Practice Group, was quoted in a RADAR on Medicare Advantage article examining The Centers for Medicare & Medicaid Services (CMS) position on the use of quota share reinsurance by Medicare Advantage organizations. Two years ago, CMS reversed its position and allowed for quota share reinsurance in four categories of exceptions allowed by federal law.

However, Biasetti notes that CMS has applied an “inconsistent application” of the rules and since CMS’ retraction of its prohibition, “several MAOs have had their quota share reinsurance agreements questioned, and in some cases, disallowed by CMS” while others have reported no issues.

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