We reviewed the approaches State legislators took to offset the effect of defunding CSRs. Here are our observations of activity across the country.
Learn more about the section of rule possibly most complex for clinicians: the Resource Use Category.
Recent exits indicate a fundamental miscalculation of the profile of the enrollees in the individual market. What’s next for the Exchanges?
UnitedHealth Group's recent exit from government-organized health insurance exchanges highlights continued challenges in the ACA Marketplace.
On Wednesday the Centers for Medicare & Medicaid Services (CMS) announced an increase in the final coinsurance rate for the Transitional Reinsurance Program, from 80% to 100% for the 2014 benefit year. Jac Joubert, with Oliver Wyman’s actuarial practice, explains what this means for insurers.
Last week the Department of Health & Human Services publicly posted health insurance companies’ proposed rate increases of 10 percent or more for the 2016 coverage year as part of its “commitment to transparency and robust rate review.” Jac Joubert with Oliver Wyman’s actuarial practice reviewed the list and has these observations to share.