NGA Hearing on State Exchanges: Governors Continue to Focus on Budget Shortfalls
A variety of pressing economic and health issues were addressed at the National Association of Governors (NGA) annual 2011 meeting held in Salt Lake City, including elements of the Patient Protection...
View ArticleNew HHS CO-OP Rules Promise More Choices for Consumers, Small Businesses
More proposed reforms to the nation’s healthcare system were released last week as part of the Patient Protection and Affordable Care Act (PPACA). This time a proposed rule authorizes the creation and...
View ArticleHHS Publishes Proposed Rule on Exchange-Based Risk Adjustments
With on-going implementation of the Patient Protection and Affordable Care Act (PPACA), actuaries and other experts have expressed concerns about how the new state-based insurance exchanges, which are...
View ArticleAdditional Details on NAIC MLR Resolution While HHS Continues to Process...
Last week, BenefitMall reported on a hotly debated resolution adopted by the National Association of Insurance Commissioners (NAIC) to adjust the Medical Loss Ratio (MLR) formula to recognize the role...
View ArticleHHS Announces Medical Loss Ratio Rule
The Department of Health and Human Services (HHS) just released its final Medical Loss Ratio rule, and the outcome does not bode well for the broker/agent community. In the ruling HHS has rejected the...
View ArticleStates Given Responsibility of Defining Essential Benefits
In a press release issued today (December 16, 2011), the U.S. Department of Health and Human Services has announced that state exchanges will now determine their benchmark for essential benefits based...
View ArticleU.S. Congressional House Subcommittee Holds Hearing on Medical Loss Ratios –...
Last Thursday, the U.S. House of Representatives Small Business Subcommittee on Investigations, Oversight and Regulations held a hearing on the issue of the Medical Loss Ratio (MLR) in Washington, D.C....
View ArticleHealth Insurers Facing New Financial Pressure Points under Emerging Reforms:...
The Patient Protection and Affordable Care Act (PPACA) is not only forcing health insurers to undergo fundamental changes in the way they do business, but the law is requiring new infrastructure...
View Article2012 PPACA Implementation Highlights
The implementation train for the Patient Protection and Affordable Care Act (PPACA) continues to pick- up speed with a number of important implementation dates in 2012. Keeping up with the pace can be...
View ArticleUnderstanding the Impact of PPACA’s Health Insurance Premium Tax
Beginning in 2014, many Americans will start paying for a new tax on health insurance that will be assessed against health plans and insurers but will actually be paid through increased premium rates,...
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