Insurance Market Reform

This brief describes global and episodic bundling and outlines considerations for state Medicaid agencies when evaluating potential implementation, including the relevance of these strategies for Medicaid agencies employing managed care strategies.

This report presents data on 2010 administrative costs for all health plans that reported  health premiums for Minnesota residents.

This table is a one-stop resource that shows states' request for an adjustment to the MLR standard, a consumer protection provision under the ACA. The HHS Secretary may determine that a state meeting the 80% Medical Loss Ratio standard may destabilize the individual market. In order to qualify for this adjustment, a state must demonstrate that requiring insurers in its individual market to meet the 80% MLR has a likelihood of destabilizing the individual market and result in fewer choices for consumers.

This report examines the critical need for risk adjustment in programs serving persons dually eligible for both Medicare and Medicaid and describes federal and state experience implementing risk adjustment models.

This ConsumersUnion brief discusses how actuarial value will be employed under the health reform law, the definitional and measurement issues associated with its use, and how to craft a measure that is usable by consumers.

The Florida Health Care Insurance Advisory Board released this report showing a steady decline in enrollment in Florida's commercial health insurance markets from 2006 to 2010.  From 2009 to 2010, enrollment declined 4.3% to 3.7 million.

Pennyslvania's Senate Bill 1336 gives the Insurance Department greater authority to review and disapprove small group market rate increases.

This brief by Wakely Consulting Group presents states with a work plan that outlines the decisions and actions needed to implement the risk adjustment and reinsurance provisions of the Affordable Care Act.

This Commonwealth issue brief analyzes changes in private employer-based health premiums and deductibles for all states from 2003 to 2010, and highlights health reform's potential to reduce insurance cost growth and increase financial protections.

Comments from California State agencies on the proposed rule for Reinsurance, Risk Corridors, and Risk Adjustment.