Core Administrators Network Coordinating Committee (CAN-CC)

 View Only

Question - Compliance and Rate Setting

  • 1.  Question - Compliance and Rate Setting

    Posted 04-15-2026 14:33

    Hi Everyone,

    I was in a discussion with some colleagues about rate setting. There was a lot of back and forth. We are wondering how people interpret the regulations for recouping deficits from a previous year with the following year's rates.

    For example, if I have a service that recovered 80% of its expenses this year, and I adjust my rates for next year, is it allowable for me to adjust such that recover not only 100% of the cost in the coming year, but also the 20% from the previous year?  

    Also, how does this apply to rolling out a new service? If I'm working to build my user base in the first two years of a new service and running a deficit, am I allowed to pay that deficit off in subsequent years until I'm at net zero?

     



    ------------------------------
    Andy Chitty
    Executive Director, MGB Research Cores
    Mass General Brigham
    Boston MA
    ------------------------------