Insurance Market Reform

Access resources specifically focused on insurance market reform provisions in PPACA and related analysis.

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External Review Processes Standards
08/09/2011
According to a preliminary determination by the Department of Health and Human Services (HHS), 17 states, the District of Columbia, and 5 territories do not have external review process that meet HHS standards.
GAO-Private Health Insurance: State Oversight of Premium Rates
08/02/2011
This GAO report describes states' practices for overseeing health insurance premium rates in 2010, including the outcomes of premium rate reviews; and changes that states that received HHS rate review grants have begun making to enhance their oversight of premium rates.
HHS- Proposed Rule on Establishment of Consumer Operated and Oriented Plan (CO-OP) Program
07/25/2011
The Department of Health and Human Services (HHS) released draft rules on the implementation of Consumer Operated and Oriented Plan (CO-OP) program under the Affordable Care Act. This program will fund the creation of CO-OPs to offer qualified health plans in insurance exchanges.
KY-MLR Waiver Approved
07/25/2011
July 22, 2011 the U.S. Department of Health and Human Services approved Kentucky's request to adjust the 80 percent MLR standard.
IA-HHS Approves MLR Waiver
07/25/2011
The U.S. Department of Health and Human Services approved Iowa 's request to adjust the 80 percent MLR standard.