Insurance Market Reform

The United States Department of Health and Human Services released a 2012 Annual Rate Review report highlighting that the ACA rate review and Medical Loss Ratio (MLR) provisions have saved an estimated $1 billion for consumers.

The final rule outlines the data health plans must provide to determine whether they meet essential health benefit standards, and establishes a process for recognizing entities to certify qualified health plans.

This proposed rule addresses what data health insurers must provide to enable regulators to set essential health benefit standards and outlines a process for accrediting qualified health plans.

The U.S. Department of Health and Human Services has issued a bulletin laying out how it will run the risk adjustment program in states that do not choose to run it themselves.

The U.S. Department of Health and Human Services has issued a final rule on how insurers must notify customers that they failed to meet the ACA’s medical loss ratio requirements.