{"id":14229,"date":"2019-10-09T10:03:06","date_gmt":"2019-10-09T14:03:06","guid":{"rendered":"https:\/\/medicarereport.org\/?p=14229"},"modified":"2019-10-09T10:03:06","modified_gmt":"2019-10-09T14:03:06","slug":"policyholders-to-get-rebates-are-you-one-of-them","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=14229","title":{"rendered":"Policyholders to get rebates, are you one of them?"},"content":{"rendered":"<p>According to analysis by Kaiser Family Foundation, Centene owes $216 million nationally in rebates. The payouts are required under a rule in the Affordable Care act which requires the insurers to spend at least 80 percent of revenues from premiums (85 percent of large group plans) on health care claims or quality improvement activities. If an insurer does not meet the appropriate threshold, it must pay the rebates to each policyholder receiving the same share because the rebate is based on the company\u2019s overall financial activity, not on its handling of individual medical claims. Read article <a href=\"https:\/\/www.wabe.org\/thousands-of-ambetter-health-insurance-policyholders-to-get-rebates\/\">here\u2026<\/a><\/p>\n<p><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/file000453200083-1-700x466.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7999\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/file000453200083-1-700x466-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/file000453200083-1-700x466-300x200.jpg 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2017\/08\/file000453200083-1-700x466.jpg 700w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<pre><strong>Notice:<\/strong> The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org<\/pre>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to analysis by Kaiser Family Foundation, Centene owes $216 million nationally in rebates. The payouts are required under a<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,21],"tags":[],"class_list":["post-14229","post","type-post","status-publish","format-standard","hentry","category-affordable-care-act-aca","category-health-care-finance"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/14229","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=14229"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/14229\/revisions"}],"predecessor-version":[{"id":14230,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/14229\/revisions\/14230"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14229"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=14229"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=14229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}