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Musings on the MLR
- Epstein Becker Green
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- USA
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- October 4 2012
As we ended the summer of 2012, the Obama administration touted one of the more popular aspects of the Affordable Care Act the requirement that health insurers spend at least 80 cents of every premium dollar on medical care and health care quality (85 cents for large employer groups purchasing health insurance), and if they do not, requiring these insurers to rebate the difference back to subscribers or their employers
No change in the 10 percent federal rate review threshold
- Epstein Becker Green
- -
- USA
- -
- June 11 2012
The Patient Protection and Affordable Care Act required that the U.S. Department of Health and Human Services ("HHS") establish a process for reviewing unreasonable increases in health insurance premiums in the individual and small group markets
Status report on the federal health insurance rate review program
- Epstein Becker Green
- -
- USA
- -
- March 20 2012
The Patient Protection and Affordable Care Act ("Affordable Care Act") required the U.S. Department of Health and Human Services ("HHS") to establish a process for the review of "unreasonable" health insurance premium rate increases in the individual and small group markets
HHS announces first insurance premium rate review determinations: implications for insurance carriers and future rate reviews
- Epstein Becker Green
- -
- USA
- -
- December 5 2011
On November 21, 2011, the Center for Consumer Information & Insurance Oversight ("CCIIO"), in the Centers for Medicare & Medicaid Services ("CMS"), announced its determination that a health insurance premium rate increase of 11.58 percent in the small group market in Pennsylvania represented an "unreasonable" rate increase, while an 11.10 percent increase in the individual market in Montana did not
Updated - HHS publishes health insurance premium rate review final rule, amends rule to include policies sold through associations, and lists states with effective rate review programs
- Epstein Becker Green
- -
- USA
- -
- September 14 2011
This client alert updates and replaces the Implementing Health and Insurance Reform alert issued on August 19, 2011, titled "HHS Publishes Health Insurance Premium Rate Review Final Rule Effective September 1st and List of States with Effective Rate Review Programs."
HHS publishes health insurance premium rate review final rule effective September 1st and list of states with effective rate review programs
- Epstein Becker Green
- -
- USA
- -
- August 22 2011
On May 23, 2011, the Center for Consumer Information & Insurance Oversight (CCIIO), in the Centers for Medicare & Medicaid Services (CMS) of the United States Department of Health and Human Services (HHS) published its Final Rule implementing Section 2794 of the Public Health Service Act (PHSA
HHS publishes health insurance premium rate review proposed regulations implications for health insurance issuers, providers, and the health care marketplace
- Epstein Becker Green
- -
- USA
- -
- December 30 2010
On December 21, 2010, the United States Department of Health and Human Services (HHS) released for public comment much anticipated proposed regulations implementing Section 2794 of the Public Health Service Act (PHSA) which requires HHS to establish a process for the review of "unreasonable" health insurance premium rate increases in the individual and small group markets
Massachusetts Division of Insurance rate disapprovals show mixed results; implications for national health reform
- Epstein Becker Green
- -
- USA
- -
- October 7 2010
As we await federal medical loss ratio ("MLR") standards and federal rulemaking by the Secretary of the US Department of Health and Human Services ("HHS") related to new federal reporting obligations by health insurance issuers of "unreasonable premium increases," it is helpful to consider recent health insurance premium rating activities and challenges in Massachusetts
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