State exchanges

A financial post-mortem: Transitional policies and the financial implications for the 2014 ACA individual market

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• A financial post-mortem: Transitional policies and the financial implications for the 2014 ACA individual market

  By Erik Huth, Jason Karcher | 20 July 2016

  This paper reviews individual Patient Protection and Affordable Care Act (ACA) market experience and risk corridor transfers by Qualified Health Plan issuer in each state to determine if there was a correlation between the transitional policy and issuers’ individual market ACA medical loss ratios.

• The proposed federal exchange auto-enrollment process: Implications for consumers and insurers

  By Paul R. Houchens, Susan E. Pantely | 28 July 2014

  The auto-enrollment process will affect premiums and may create financial barriers to 2015 coverage.

• 2014 individual exchange policies in four states: An early look for patients with blood cancer

  By Jane Suh, Bruce S. Pyenson | 09 January 2014

  How will healthcare reform changes under ACA impact patients fighting blood cancer?

• Individual health insurance exchanges: What we know, what we don’t know, and looking ahead to 2015

  By Catherine M. Murphy-Barron, Hans K. Leida, Victoria Boyarsky | 16 December 2013

  It will be several years before insurers have the claim data they are accustomed to.

• Private exchanges and plan sponsors: The headlines, facts, opportunities, and potholes

  By Robert L. Schmidt, Suzanne Taranto | 05 December 2013

  Public or private exchanges present some plan sponsors with interesting opportunities for healthcare delivery.#160;

• 2014 federal insurance exchange: Evaluation of insurer participation and consumer choice

  By Jason A. Clarkson, Michael G. Sturm, Paul R. Houchens | 02 December 2013

  Insurance plan information for the federal individual exchange market and 32 states has been released—giving consumers and the health insurance industry the first opportunity to view the landscape of the new exchange market.

• President Obama’s transitional policy for canceled plans

  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.

• 2015 individual market pricing: Morbidity and other considerations

  By Scott Katterman | 04 October 2013

  Several regulatory and market differences that will become effective in 2015 are almost certain to be relevant to pricing.

• Risk corridors under the ACA

  By Doug Norris, Hans K. Leida, Mary Creten (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.

• Room at the table

  By Paul L. Correia | 11 September 2013

  Will group life and disability insurers choose to take part in health insurance exchanges?

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