Insurance Market Reform

Michigan's request for an adjustment of the Medical Loss Ratio (MLR) standard

The U.S. Department of Health and Human Services approved Georgia’s request for an adjustment to its Medical Loss
Ratio (MLR).

This report offers an analysis of information on enrollment trends, premiums, and medical costs provided by carriers to the Washington State Office of the Insurance Commissioner supplemented with additional carrier and association information reported to the National Association of Insurance Commissioners and the U.S. Department of Labor.

This Urban Institute report asserts that the assumption that employers will choose to pay the penalty for not providing health benefits under the ACA, ignores the fact that employers have offered health benefits to employees for years without being threatened with a penalty if they failed to do so.

Wakely Consulting's presentation that provides guidance on reinsurance, risk adjustment and risk corridors.