BCBS of North Carolina to reimburse 700,000 members after exceeding cost cap

Blue Cross and Blue Shield of North Carolina plans to send rebates to about 700,000 members after its administrative and other costs surpassed an ACA cap, according to The Coastland Times.

Advertisement

When insurers don’t keep administration, marketing and profits to 20 percent or less of premium dollars, the ACA requires payers to reimburse members. While this is the first time BCBS of North Carolina will issue the rebates, about 6 million U.S. customers have received similar reimbursements since 2012, averaging $119 per person, according to CMS data cited by The Coastland Times.

BCBS of North Carolina posted profits of $685 million in 2018 on $9.1 billion in premiums. Member rebates will average less than $75 per person, according to the report.

More articles on payers:
BCBS of Michigan accused of charging hidden fees
UnityPoint back in network with Humana, Molina
Anthem study: Employers are increasingly bundling health benefits

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Register to Attend Webinar

From fragmentation to operational flow: Solving the healthcare workforce puzzle

Tuesday, August 11
1:00 PM - 2:00 PM CDT

Presenters: Dr. Pat Hunt, QGendaAndrea Daugherty, MHA, CISSP, CHCIO, CDH-E, Arrowhead Regional Medical CenterElizabeth Lindsay-Wood, MBA, CHCIO, CDH-E, Moffitt Cancer CenterDeb Muro, El Camino HealthJohn Tejeda, D.H.A., MLS, MPAS, DFAAPA, LSSBB, FACHE, Vascular and Neuroscience Institute

Advertisement

Next Up in Compensation Issues

Advertisement

Comments are closed.