COVID-19 fuels major unknowns as insurers tackle 2021 rate setting

Healthcare DIVE June 11, 2020
Samantha Liss

Dive Brief:

• Insurers face myriad challenges as they set premium rates for 2021 in the individual and small group market in the midst of the COVID-19 pandemic. The crisis is forcing payers to consider a slew of scenarios, laid out in an annual issue brief from the American Academy of Actuaries.
• The brief notes the pandemic has fueled “significant uncertainty” in projecting claims and lists a number of scenarios, including the potential for additional waves of infection this year and next.
• At first blush, the financial picture may seem hopeful for insurers, with deferred care outweighing the increased medical costs to treat COVID-19 patients. But the brief spells out challenges that may lead to higher spend, including a shift...

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