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October 2015 St@teside

Is Rate Review the Answer to Lower Health Insurance Premiums?

During the past decade, increases in health insurance premiums have outpaced inflation, particularly in the individual and small group markets, with significant variation among states. The federal rate review regulation in the Affordable Care Act (ACA) requires health insurance carriers to file and publicly justify proposed rate increases of 10 percent or more. States’ regulatory authority over health insurance carriers’ rates takes a variety of forms, including “file and use” and “prior approval.” Post-ACA, insurers must also adhere to requirements for medical loss ratios, the proportion of premium revenues spent on medical claims.

Join the Robert Wood Johnson Foundation’s Changes in Health Care Financing and Organization (HCFO) initiative for a free webinar on November 17 at 1:00 p.m. EDT to discuss the impact of state-level rate review regulations on health insurance premiums. Learn more and register on the AcademyHealth website.