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Board tables data‑submission penalty plan after members and stakeholders press for stronger deterrents
Summary
The board reviewed a proposed penalty schedule (two flat untimely fines of $10,000 and $50,000 and a $5 per‑member failure‑to‑submit penalty that would double in year two) but deferred action to November after members and public commenters — including patient advocates and unions — argued the proposed amounts are too small to deter national plan noncompliance.
CJ Howard, assistant deputy director for health care spending targets, presented a detailed proposal to enforce HCAI’s data‑submission schedule: two flat untimely penalties (an initial $10,000 and an additional $50,000 if data remain missing by Nov. 1) and a per‑member failure‑to‑submit penalty proposed at $5 per member in year one that would double in subsequent noncompliant years.
Howard explained the rationale and scale using examples: the $5 per‑member figure would average approximately $2.7 million for a typical plan and could be substantially larger for…
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