While there is significant uncertainty regarding current healthcare reform legislation, reinsurance and high-risk pool (HRP) programs are likely to play a role in attempting to stabilize individual market enrollment and premiums. In this paper, Milliman consultants Fritz Busch and Paul Houchens examine the following issues related to reinsurance and HRPs. • The historical uses of […]
The Medicare Payment Advisory Committee (MedPAC) has previously suggested changes to the Medicare Part D reinsurance and risk corridor program. But several factors—the current state of the Part D market, recent attempts to curtail Medicare spending, and large increases in reinsurance payments—may increase the likelihood that MedPAC and the Centers for Medicare and Medicaid Services […]
On November 14, 2013, the president announced changes to healthcare reform, including the potential reinstatement of certain canceled health policies, as well as suggesting that changes might be made to the federal risk corridor program. Since then, the administration has provided more specifics on the proposed changes to the risk corridor calculations. In addition, they […]
The October 2013 edition of Health Watch focuses on the “three Rs” of the Patient Protection and Affordable Care Act (ACA): reinsurance, risk corridors, and risk adjustment. Milliman consultants contributed three articles on these issues: • The cover article, “Risk corridors under the ACA” by Doug Norris, Mary van der Heijde, and Hans Leida, examines […]
The Department of Health and Human Serices has issued guidance on how sponors of employment-based health plans covering early retirees may apply for the $5 billion in federal subsidies available under the reinsurance program created by the Patient Protection and Affordable Care Act. More here.
Section 1332 of the Patient Protection and Affordable Care Act (ACA) allows states, starting in 2017, to waive certain ACA market rules to allow for more tailored commercial individual and small group market solutions. When states consider market reforms such as reinsurance under the 1332 Waiver with the aim of stabilizing the market and providing […]