Health Affairs September 23, 2019
Katie Keith

Recent weeks have brought new analyses of the individual health insurance market. In September, the Kaiser Family Foundation estimated that insurers across the individual and group markets will issue at least $1.3 billion in medical loss ratio (MLR) rebates. This is the highest recorded rebate since the Affordable Care Act’s (ACA’s) MLR requirement was put in place. Separately, the Robert Wood Johnson Foundation released a new interactive tool showing trends in insurer participation in the ACA marketplaces. Also in September, the Centers for Medicare and Medicaid Services (CMS) issued new frequently asked questions regarding enhanced direct enrollment (EDE) and an updated list of approved EDE entities.

Record 2019 MLR Rebates Of $1.3 Billion

Section 2718 of the Public Health...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer, Payer, Provider, Public Exchange
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