CMS lifts eternalHealth enrollment sanction

Advertisement

CMS removed its enrollment sanction on eternalHealth on Sept. 10, according to a news release from the agency.

In March, CMS suspended enrollment for eternalHealth’s Medicare Advantage-Prescription Drug Plan contracts after Massachusetts requested the insurer to cease marketing its products and services. EternalHealth was unable to meet state financial solvency and operational requirements. CMS has instituted similar sanctions on other organizations.

“EternalHealth is no longer in violation of CMS regulations,” CMS said. “CMS expects eternalHealth to remain in good standing with the Commonwealth of Massachusetts. Any future failures to comply with CMS requirements may subject eternalHealth to other applicable remedies available under law, including the imposition of intermediate sanctions, civil money penalties or contract termination.”

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

Register to Attend Webinar

Read. Deleted. Ignored. What It Takes to Drive Behavior Change and Lower the Cost of Care

Tuesday, August 4
11:00 AM - 12:00 PM CDT

Presenters: Koleen Cavanaugh, Independence Blue CrossBukata Hayes, HMO Minnesota (Blue Plus)Nathan Foco, Select HealthTrish Cox, SCAN Health PlanJonas Puente, ZS Associates

Advertisement

Next Up in Payer

Advertisement