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2014 Individual Market Data Compared to 2013
CMS recently published health insurer experience data for the 2014 calendar year—the first year of ACA’s major market reforms. We … FULL STORY
Posted in Industry News
Tagged 2013, 2014, ACA, CMS, individual market, medical, MLR, Texas
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Massive Losses Reported in 2014 MLR Data
Carriers operating in the individual market suffered massive losses and depended heavily on risk sharing programs in 2014. Indicators about … FULL STORY
Posted in Industry News
Tagged 2014, CMS, HHS, individual market, medical, MLR, risk adjustment, risk corridors, transitional reinsurance
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BCBS to Discontinue PPO Plans in Individual Market in 2016
Starting in 2016, BCBS will no longer offer PPO plans in the individual market (on and off exchange) for non-grandfathered … FULL STORY
Posted in Carrier News
Tagged 2016, ACA, BCBS, CMS, exchanges, grandfathering, individual market, medical, MLR
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Aetna Removing Broker Commission in Small Group – update
Update on Tue, Jul 14…
Aetna decided to retract this Producer Service Fee strategy in small group beginning with groups effective … FULL STORY
Posted in Carrier News
Tagged Aetna, brokers, commission, medical, MLR, service fee, small group
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CMS Limits Carrier Ability to Remove Broker Comp from MLR
On Wed, May 27, CMS issued a Q&A providing guidance to carriers detailing the limited circumstances in which a health … FULL STORY
Posted in Industry News
Tagged ACA, brokers, CMS, commission, medical, MLR
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Final 2016 Notice of Benefit and Payment Parameters – Cigna
On February 20, the Department of Health and Human Services (HHS) issued final regulations on the 2016 Notice of Benefit … FULL STORY
Posted in Industry News
Tagged 2016, ACA, Cigna, CMS, cost sharing limits, deductible, essential health benefits, exchanges, final rule, HHS, individual market, large group, medical, minimum value, MLR, open enrollment, out-of-pocket max, reinsurance fee, small group
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Proposed Regulations on 2016 Benefit and Payment Parameters – Cigna
On November 21, the Department of Health and Human Services (HHS) issued proposed regulations that address a variety of Patient … FULL STORY
Posted in Industry News
Tagged actuarial value, Cigna, CMS, cost sharing limits, essential health benefits, exchanges, HHS, individual market, large group, medical, minimum value, MLR, reinsurance fee
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