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On October 13, 2015, your humble blogger received the AIS Inside Health Insurance Exchange quote of the day related to non-payment of the Risk Corridor payments, “…. there was a contract going into this that there would be certain protections… and plans would price as best as they could, knowing that there was no actuarial precedent for the risk. The news that CMS could pay carriers 12 cents for every dollar requested for the first year of the risk corridor program felt like Lucy moving the football at the last second.”
Insurance premiums under the Affordable Care Act (ACA) are receiving increased attention due to reports of sharp 2017 increases by insurers. Across the nation, insurers have submitted initial premium increases and it is not uncommon for insurers to submit proposed rate increases in excess of 40-50% for 2017. State regulators will review the requests meticulously […]
Leavitt Partners recently published a summary of the benefit and payment parameters proposed rule, including notations on coverage, risk corridors, risk adjustment, marketplaces, benefits packages and QHP options and certification standards.
Federal health care reform has given states a tight timeline for the implementation of state health insurance exchanges. Is the reform requiring too much too fast? Cheryl Smith, a Director at Leavitt Partners, shares her view. A Deep Breath and a Step Back I recently attended a conference in Washington, D.C. in which a number […]