• Continuous Quality Improvement

Continuous quality improvement, or CQI, is a health plan management practice used to reduce waste, increase efficiency, and increase internal (meaning, employees) and external (meaning, customer) satisfaction. It is an ongoing process that evaluates how an organization works and ways to improve its processes. OSI regulates health insurers’ continuous quality improvement programs. 

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ORDER ESTABLISHING PARAMETERS FOR DEFRAYAL UNDER 13.10.41 NMAC, COVERAGE FOR SPECIFICED SEX TRAIT MODIFICATION PROCEDURE

Pursuant to NMSA, Section 59A-2-8 General powers and duties of superintendent, this order provides an initial interpretation of what specified sex trait modification procedures and prescriptions are eligible for defrayal starting Plan Year 2027 for health plans sold on the New Mexico BeWell Exchange. Office of Superintendent of Insurance (OSI) staff may revisit this interpretation […]

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MEDICAL MALPRACTICE PREMIUM REDUCTION

BULLETIN 2026-010: The New Mexico State Legislature appropriated $5 million to the New Mexico Office of Superintendent of Insurance (OSI) to address medical malpractice insurance costs for individual providers. The appropriation was part of a supplemental appropriation package passed in 2025. This one-time appropriation directs OSI to provide a premium subsidy for private medical malpractice insurance policies. […]

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