Kilpatrick

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 , , , , , , , | Comments Off on 2014 Individual Market Data Compared to 2013

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 , , , , , , , , | Comments Off on Massive Losses Reported in 2014 MLR Data

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 , , , , , , , , | Comments Off on BCBS to Discontinue PPO Plans in Individual Market in 2016

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 , , , , , , | Comments Off on Aetna Removing Broker Commission in Small Group – update

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 , , , , , | Comments Off on CMS Limits Carrier Ability to Remove Broker Comp from MLR

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 , , , , , , , , , , , , , , , , , , | Comments Off on Final 2016 Notice of Benefit and Payment Parameters – Cigna

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 , , , , , , , , , , , , | Comments Off on Proposed Regulations on 2016 Benefit and Payment Parameters – Cigna