Tag: consumers

Essential Health Benefits Final Rule: No Major Departures

The Administration released its final regulation on the Affordable Care Act's requirement that plans cover a minimum set of essential health benefits. Sabrina Corlette took a peek and examines the pluses – and minuses – for consumers.

Health Reform at Work: Lower Rates in New York State

Next year’s premiums for individual market plans will be way down in New York thanks to the Affordable Care Act. Christine Monahan discusses how a competitive exchange and the individual mandate will provide relief to cash-strapped New Yorkers.

Breaking Down the NAIC’s Comments

In comments to federal regulators on recent proposed rules, the NAIC added its voice to the chorus of stakeholders who have weighed in on some of the Affordable Care Act’s most significant protections. Katie Keith has highlights from the NAIC's four comment letters on the 2014 market reforms, essential health benefits, multi-state plans, and the rate review template.

Market Reforms Roundup: New Report on State Action on 2014 Market Reforms

In our most recent issue brief for the Commonwealth Fund, CHIR researchers studied the progress states have made to date in implementing the 2014 market reforms and found that most states have yet to move forward with changes they need. Katie Keith discusses the actions that states have taken so far and what our findings mean for federal and state regulators as they implement the Affordable Care Act.

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.

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.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.