Friday, January 13, 2012

The GAO report uses preliminary data submitted to the National Association of Insurance Commissioners (NAIC) on insurer experience in 2010—before the MLR requirements were applicable. Based on the 2010 data, the report concludes that most insurers would have met MLR standards had they applied in 2010. In particular, the data indicates that 77% of large group market insurers (and 70% in the small group market) would have met the standards. The report also notes that MLRs varied widely among insurers and that even MLRs for the same insurer varied widely from state to state
HHS deems insurance rate hikes 'unreasonable' in 5 states
 The Hill, Jan. 12, 2012
Trustmark has raised its rates in Alabama, Arizona, Pennsylvania, Virginia and Wyoming by 13 percent, HHS said. In Alabama, the company has raised premiums by a total of 27 percent over the past year.

Study: Premiums could rise 25 percent without insurance mandate
The Hill, Jan. 12, 2012
Premiums would rise because young, healthy people would be less likely to buy insurance. The purpose of the mandate is, in large part, to force healthy people into the system, offsetting the cost of guaranteeing coverage to people with pre-existing conditions

Medical Transport Lawsuit Gets Federal Injunction
California Healthline, Jan. 12, 2012
In addition to these four lawsuits over the 10% provider cuts, a federal judge also issued a preliminary injunction halting the 20% trigger cuts to In-Home Supportive Services. All of those lawsuits were filed before the governor released his current budget, which includes another series of health care reductions.

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