Podcast Center
Video Center
Webcasts
Resource Center
Events
October 13, 2010 at 08:00 PM
America’s Health Insurance Plans (AHIP) estimates shifting to the International Classification of Diseases, Tenth Revision (ICD-10), standard will cost plans about $11 to $38 per enrollee.
AHIP, Washington, has been asking the National Association of Insurance Commissioners (NAIC), Kansas City, Mo., to let health carriers count ICD-10 conversion expenses as quality improvement expenses 
when they are doing the calculations needed to comply with the new minimum medical loss ratio (MLR) standards.
The minimum MLR standards, part of the Affordable Care Act, the legislative package that includes the Patient Protection and Affordable Care Act (PPACA), will require that the percentage of revenue going to medical care and quality improvement be at least 80% for individual and small group coverage and 85% for large group coverage.
Individuals picked to represent consumer interests in NAIC proceedings have told the NAIC that ICD-10 conversion expenses are necessary but should counted as an administrative expense, not a quality improvement expense.
