Healthcare reform reading list: From the ACA archives

By Esther M. Blount, Michelle Klein, Alison Fasching | 04 March 2019

As medical loss ratios (MLR) decrease, individual ACA issuers need to start thinking about something that has been mostly irrelevant to them until now—MLR rebates.

By W. John Semmens, Christine M. Mytelka, Robert M. Damler | 07 May 2014

A successful model for states that are seeking a methodology for identifying the medically frail.

By Hans K. Leida | 19 November 2013

The November 14, 2013 announcement that health insurance issuers would be permitted to renew certain canceled health insurance policies has raised new questions for the individual and small group marketplaces in 2014.

By Doug Norris, Hans K. Leida, Mary van der Heijde | 01 October 2013

We dispel some common misconceptions and demonstrate some of the less obvious aspects of the risk corridor program under the ACA.

By Hans K. Leida | 15 August 2013

Individual insurers can learn lessons from Medicare Advantage and Medicare Part D (MAPD) to help them reduce risk and plan for the future.

By Paul R. Houchens | 19 July 2013

Delay gives some respite, but ACA still requires employers to take action.

By Doug Norris, Mary van der Heijde | 30 August 2011

Starting in 2014, insurers can no longer charge different rates for men and women, and must adhere to tighter age-rating bands. What are the implications of these changes?

By Michael G. Sturm | 07 March 2011

Each state needs to create a healthcare exchange that fits its own unique situation.

By Brian N. Anderson, Troy M. Filipek | 01 August 2010

Healthcare reform is affecting pharmacy benefits, and some of the most significant changes may come in the next 12 months.

By Thomas D. Snook, Ronald G. Harris | 19 October 2009

Several of the reform bills in Congress share a common theme: A move away from the rating and underwriting techniques, and a move toward an individual mandate where all people are required to obtain health insurance.