What may happen when CMS vacates the use of the statewide average premium in the risk adjustment transfer formula.
Tammy Tomczyk, FSA, FCA, MAAA
Analysis on the potential effects of cost-sharing reduction payments and pass-through savings.
Here are some greater implications and carrier considerations regarding draft regulation changes for association health plans.
The impact of one proposal the US Senate is considering to fund CSR payments.
The compromise bill may help stabilize the once shaky ACA, but here’s why this bill still demands even greater change moving forward.
What lies ahead for insurers as the ACA 2018 open enrollment period approaches.
Oliver Wyman Actuarial on innovative 1332 waivers as one way to stabilize the individual market.
With so much uncertainty around federal reform efforts, payers and states are exploring alternative options to stabilize individual insurance markets. And that has put a spotlight on 1332 waivers.
With repeal and replace on pause, the reform spotlight is shifting to 1332 waivers, which give states the ability to waive some provisions of the ACA. A detailed look at the waiver process, state interest, and how health insurers might be impacted.
Leaders from Oliver Wyman’s Actuarial Consulting break down how changes to the ACA individual market may play out on a state-by-state basis.