Tag Archives: contingency planning

New “three Rs” and ACA marketplace considerations

Commercial health issuers should develop contingency plans as legislative proposals designed to modify the Patient Protection and Affordable Care Act (ACA) emerge. While the direction of the ACA marketplace is uncertain now, health plans can proactively evaluate the risks and rewards of various contingency plans to act quickly once the new market environment becomes clear.

Milliman actuaries Amy Giese and Alison Fasching have authored a new paper offering issuers considerations for commercial contingency planning. In the paper, the authors explore the following new “three Rs” to mitigate risk in the current environment:

Remain in the market
Refile in the summer if changes occur after products are initially filed
Remove products from the market

To learn more about the developing healthcare landscape in the U.S., follow Milliman Healthcare reform 2.0.