Turf Battle or Promising Partnership? Understanding Marketplaces’ Responsibility to Offer Affordable Health Insurance

Local press in D.C. recently reported on a “turf battle” between the health insurance marketplace and DC’s Department of Insurance over the review of proposed rate increases. But their roles are more complementary than conflicting. Sabrina Corlette examines how the Affordable Care Act envisions the marketplaces and state insurance departments working together to help consumers obtain better, more affordable health insurance. Continue reading

Rate Review 2.0: The Next Generation

Last week the Administration released its final rule implementing the ACA's insurance market reforms. Many of these provisions have generated deserved attention for the important protections they'll bring to consumers. Getting less attention, but just as important, are the rule's rate review provisions. Sabrina Corlette takes a look. Continue reading

Multi-State Plan Program Final Rule: OPM's Balancing Act

The Office of Personnel Management recently issued a final rule on the multi-state plan program in which it attempts to standardize contracting processes and state rules to, in theory, make it easier for insurers to enter new markets while limiting the extent to which multi-state plan issuers can bypass state consumer protections and preserving a level playing field in exchanges. Christine Monahan discusses how OPM has attempted to balance these competing pressures and discusses where multi-state plans may or may not have flexibility. Continue reading

Florida’s Changes to Rate Review: Heading Backward?

Of the many consumer protection tools available to health insurance regulators, one of the most powerful is the ability to review premium rates. Yet, some states have made recent decisions to abdicate this authority to federal regulators. Sally McCarty discusses recently enacted legislation in Florida that suspends the state’s rate review requirements – and what it means for insurers, regulators, and consumers. Continue reading