Rhode Island Rate Review Grants Award List
Cycle I Grant Application Summary
Rhode Island Grantee: Rhode Island Department of Business Regulation
Award Date: August 16, 2010
Award Amount: $1,000,000
- Expand the Scope of the Review Process: Rhode Island will expand to include retrospective review of small group market rates.
- Improve the Review Process: The State currently reviews all rates prospectively. Using grant funds, they will introduce compliance and quality to the affordability standards of health insurance premiums through a retrospective look back at the performance of the rate.
- Increase Transparency and Accessibility: Currently all "significant" health insurance premium increases are available on the web. Using grant funds the State will contract with a community organization to promote purchaser and consumer engagement, including public comment.
- Develop and Upgrade Technology: Rhode Island will improve efficiency and streamline data sharing.
Cycle II Grant Application Summary
Rhode Island Grantee: Rhode Island Department of Business Regulation
Award Date: September 20, 2011
Total Award: $3,724,651
Baseline Award: $3,000,000
Workload Award Amount: $124,651
Performance Award Amount: $600,000
- Expand scope of rate review: Rhode Island will use funds to create an operations manual for the rate review process. The manual will culminate in the issuance of a regulation to institutionalize Rhode Island’s rate review process and procedures.
- Improve rate filing requirements: Rhode Island will collaborate on the development of revisions to its Health Insurance Supplemental Annual Statement and enhance insurer compliance with the affordability standards.
- Improve transparency and consumer interfaces: Rhode Island will work with new staff to develop a written and web based consumer guide to Rhode Island health insurance consumer services.
- Hire new staff: Rhode Island will create 4 new positions with Cycle II grant funding; these positions are in addition to the 1 position created with Cycle I resources.
- Improve IT: Rhode Island is interested in utilizing an All Payer Claims Database to support its research into hospital payments and utilization. Rhode Island will also support efforts to develop a public portal for direct consumer access to the All Payer Claims Database once complete.
Last updated: September 21, 2012