Insurance Market Reform

Access resources specifically focused on insurance market reform provisions in PPACA and related analysis.

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Michigan MLR Request
11/14/2011
Michigan's request for an adjustment of the Medical Loss Ratio (MLR) standard
Georgia MLR Request Accepted
11/14/2011
The U.S. Department of Health and Human Services approved Georgia’s request for an adjustment to its Medical Loss
Ratio (MLR).
IOM Report: Essential Health Benefits
10/07/2011
The essential health benefits package specifies the services that all Qualified Health Plans will be required to cover if they are to participate in any state’s health insurance exchange.
Rate Review Works: Early Achievements of Health Insurance Rate Review Grants
09/23/2011
This report describes to date what states have accomplished under their Rate Review Grants.
Risk Adjustment Implementation Issues-White Paper
09/23/2011
The purpose of this white paper is to begin the consultation process around the development of the federally-certified risk adjustment methodology developed by HHS and provide context for individuals to submit comments regarding the Standards Related to Reinsurance, Risk Corridors and Risk Adjustment Notice of Proposed Rulemaking (NPRM) (45 CFR Part 153), issued July 15, 2011.