community rating system


Also found in: Acronyms.

community rating system

a program of health maintenance organizations (HMOs) that uses revenues and membership targets to determine health insurance premium rates. The HMO uses its own history in the calculation of rates, rather than any single employer's risk history. See also health maintenance organization.
References in periodicals archive ?
As a member of the Community Rating System, Stafford County is within an elite group of 25 Virginia communities and counties that have received this recognition.
As the towns considered enrolling in FEMA's Community Rating System, they discussed creating a uniform building code to streamline participation in the program and to enhance resiliency across the three towns.
Participation in the National Flood Insurance Program's Community Rating System is voluntary and rewards communities who implement programs and policies that exceed the minimum NFIP requirements.
The PRS is a program encompassing a Pearl Building Rating System (PBRS), a Pearl Community Rating System (PCRS) and a Pearl Villa Rating System (PVRS), introducing rating practices across the design and construction phases of development projects.
Lane County has lowered its flood insurance premiums by 15 percent after being accepted into the National Flood Insurance Program's Community Rating System, the county said.
One risk-management strategy was to adopt a community rating system, which charged all members of a specified "group" the same premium.
Pennsylvania also would impose an adjusted community rating system that would prohibit insurers from using insured characteristics such as health status and gender in setting rates, Rendell says.
Specific work efforts within the SWMP are the design and construction of storm sewer and drainage infrastructure projects, flood plain management, administration support of FEMA's Community Rating System (CRS), and other storm water responsibilities.
In conjunction with FEMA's Community Rating System Program, many communities have begun to recognize the need for a well defined and implementable floodplain management plan.
It also sets forth an adjusted community rating system, which is a means of developing premiums in order to spread financial risk across the carrier's entire small group population.
According to HB 1622, beginning July 1, 1995 the state would operate under a modified community rating system (some variations allowed) that would lead to phasing in a pure community rating system beginning January 1, 1999.
Risk adjustment to require plans to accept all applicants, regardless of any pre-existing medical conditions; premium amounts would be determined by each state under a community rating system, guaranteeing that the same premium would be charged to all, regardless of age, sex or prior medical history;
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