Insurance Market Reform

NAIC letter to the Centers for Medicare and Medicaid Services (CMS) regarding standards related to Reinsurance, Risk Corridors and Risk Adjustment.

This analysis by the Kaiser Family Foundation (KFF) assesses the competitiveness of state insurance markets for individuals and small businesses to establish a baseline as implementation of the health reform law proceeds and to provide context for the policy decisions states will be considering.

This paper describes and assesses distinguishing dimensions important to the design of a successful SHOP Exchange program. These include functions unique to the SHOP Exchange which will require different administrative systems.

The essential health benefits package specifies the services that all Qualified Health Plans will be required to cover if they are to participate in any state’s health insurance exchange.

This National Health Policy Forum issue brief outlines specific state and federal roles in the rate review process and changes to rate review processes since the health reform law was enacted.

The purpose of this white paper is to begin the consultation process around the development of the federally-certified risk adjustment methodology developed by HHS and provide context for individuals to submit comments regarding the Standards Related to Reinsurance, Risk Corridors and Risk Adjustment Notice of Proposed Rulemaking (NPRM) (45 CFR Part 153), issued July 15, 2011.

This report describes to date what states have accomplished under their Rate Review Grants.

The Center for Consumer Information and Oversight (CCIO) rejected Delaware’s request for an adjustment to the health reform law’s new medical loss ratio requirements in the individual market September 12, 2011.

A new Colorado state government website that offers answers about the cost of health insurance and what drives health premiums.

This Citigroup paper reviews North Carolina’s MLR adjustment request.