Insurance Market Reform

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Estimating the Impact of the Medical Loss Ratio Rule: A State-by-State Analysis

Apr 2012

This issue brief, from the Commonwealth Fund, estimates the rebates expected in each state if the new Medical Loss Ratio (MLR) rules had been in effect a year earlier.

 

Analysis on HHS Final Rules on Reinsurance, Risk Corridors, and Risk Adjustment

Apr 2012

This brief gives a summary of HHS final rules on reinsurance, risk corridors, and risk adjustment from Wakely Consulting Group.

 

The Impact of Guaranteed Issue and Community Rating Reforms on States' Individual Insurance Markets

Mar 2012

This Milliman report updates a previous report that provides an overview of guaranteed issues and community rating reforms adopted in eight states in the 1990s.

 

The Individual Mandate in Perspective

Mar 2012

This Urban Institute report found that only seven percent of the population under age 65 would have to newly purchase health insurance or face a penalty under the health law.

 

Health Care Costs and Spending in Massachusetts: A Review of the Evidence

Mar 2012

This chart pack pulls together many of the major findings and analyses from recent state and national research efforts on Massachusetts health care spending.

 

Premium Incentives to Drive Wellness in the Workplace: A Review of the Issues and Recommendations for Policymakers

Mar 2012

In this paper, Georgetown University researchers discuss the phenomenon of employers increasingly turning to workplace wellness initiatives to curb rising health care costs and the growing prevalence of chronic conditions.

 

Exchange Stakeholder Meeting: Wakely Consulting Group Study on the Role of Third Party Assistors

Mar 2012

New York held a stakeholder meeting to discuss findings from a research study by Wakely Consulting on the New York broker market. Consultants from Wakely presented policy options for the state to consider, and a range of state-based groups shared their perspectives on broker and navigator strategies with state officials.

 

Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment

Mar 2012

This final rule implements standards for States related to reinsurance and risk adjustment, and for health insurance issuers related to reinsurance, risk corridors, and risk adjustment consistent with the ACA.

 

State Rate Review Criteria

Mar 2012

This paper, by the United States Department of Health and Human Services, outlines the criteria for state rate reviews.

 

An Unwelcome Surprise: How New Yorkers Are Getting Stuck with Unexpected Medical Bills from Out-of-Network Providers

Mar 2012

This report contains the initial results of the New York Department of Financial Services investigation of surprise medical bills

 
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