Tag: rate review

“As if COVID-19 Did Not Exist”: Health Plans Prepare for 2022 in Early Rate Filings

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Several states ask for – and publicly post – health insurers’ proposed 2022 premium rates in May and June. These early rate filings can provide hints about how insurers are responding to market trends, policy changes, and emerging drivers of health care costs. CHIR’s Sabrina Corlette took a deep dive into insurers’ actuarial memos to find out how they’re thinking about health care spending after COVID-19, the American Rescue Plan, and more.

Stable Rates Reflect Strength of ACA Marketplaces

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At the start of the COVID-19 pandemic, many predicted that insurers would need to dramatically hike their premiums. As it turned out, the opposite occurred, with average rates declining for 2021. In an Expert Perspective post for the State Health & Value Strategies program, CHIR’s Sabrina Corlette and Manatt Health’s Joel Ario examine the factors that led to a stable year for ACA insurance rates.

2019 Insurer Participation: A “Quieter” Year As Companies Maintain, Expand Their Presence

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Since implementation of the Affordable Care Act, insurer participation in the ACA marketplaces has fluctuated. As states prepare to enter their annual rate review processes for 2020, CHIR’s Emily Curran and Justin Giovannelli interviewed officials in seven of the state-based marketplaces to understand their strategies for maintaining insurer participation in 2019 and ensuring marketplace competition in the future.

Proposed 2019 Affordable Care Act Payment Rule: A Big Role for States

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The U.S. Department of Health & Human Services published an annual set of proposed rules for the Affordable Care Act marketplaces on October 27. Called the “Notice of Benefit and Payment Parameters,” the rules set out expectations for insurers and the states that regulate them. In her latest post for CHIR, Katie Keith highlights key areas in which this administration would give states new autonomy and authority.

Recent and Potential Regulatory Actions to Roll Back the ACA: State Options Blog Series

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While members of Congress debate possible bipartisan actions on the ACA, the future sustainability of the ACA’s consumer protections and markets also depend on regulatory and administrative actions. CHIR’s Sabrina Corlette reviews a series of recent actions by HHS to recast the federal approach to health plan oversight and tees up an upcoming series of CHIRblog posts outlining options for states that want to retain some or all of the reforms adopted by the ACA.

Reading the Fine Print: Do ACA Replacement Proposals Give States More Flexibility and Authority?

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State leaders have been heartened by statements from the new President and Congressional leaders that ACA replacement plans will give them more autonomy over their health insurance markets. But is that really true? In a post for the Health Affairs blog, CHIR experts Sabrina Corlette and Kevin Lucia examine the fine print of House and Senate replacement plans and find that they broadly preempt state authority.

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.