Complimentary from the publisher

Complimentary from the publishers of Health Insurance Marketplace News June, 2016

Reduce Medical Loss Ratio by Straight-Through-Processing with Oracle Health Insurance Components

“Why can’t the experience of finding a physician or purchasing small group coverage be similar to ride-hailing apps like Lyft? The small business experience needs to change, starting with education. The weak awareness of the gig economy vocabulary prompts the question: 'What percentage of small businesses are even aware of the public and private health insurance Exchange options?' The Small Health Options Programs were dwarfed by the media’s curiosity about individual Exchanges. The brokers who drove as much as 80% of small business in California and Colorado felt the SHOP was an afterthought. Tax credits aren’t a selling point, only a discussion point. If education is weak and the consumer experience is horrendous, adoption won’t come. Healthcare is personal. Why can’t we make the buying experience personal?”
- Peter B. Nichol, CIO, Healthcare Business & Technology Executive, Healthcare Expert at PA Consulting Group.

"A significant part of any premium rate request is the insurer’s estimate of how healthcare costs are going to change in the coming year. From looking at a handful of early rate filings, low-end projections are 3% to 5%, while some insurers are projecting trend of 7% to over 9%.”

Excerpted from: Health Insurance Marketplace News, Volume 4, Issue 12, June Second Edition 2016, "What to Look for in 2017 ACA Marketplace Premium Changes,"

Obama administration wants more scrutiny of ACA premium hikes
Benefits Pro, June 16, 2016

Alaska Reinsurance Plan Could Be Model For ACA Reform
Health Affairs Blog, June 16, 2016

Analysis of 2017 Premium Changes and Insurer Participation in the ACA’s HIXs
The Henry J. Kaiser Family Foundation, June15, 2016

Impact of the ACA Coverage Expansion on Rural and Urban Populations
Department of Health and Human Services, June 10, 2016

Testimony: Consumer Experiences in the ACA Marketplaces
The Commonwealth Fund, June 10, 2016

Survey: Assisters Help Estimated 5.3 Million During 2016 ACA Open Enrollment
The Henry J. Kaiser Family Foundation Press Release, June 8, 2016

What Health Insurance Exchanges Should Do to Cut Premium Costs
HealthPayer Intelligence, June 6, 2016

The Cost of ACA Repeal
Robert Wood Johnson Foundation, June 2016

Early Analysis Finds 2017 Proposed Exchange Rates Exceed 2016 Increases
Avalere, May 24, 2016

This Month in Health Insurance Marketplace News

Commonwealth Fund Reports See Mixed Experience for Insurers
Lawsuits Seek Missing Risk Corridor Payments
Thought Leaders' Corner: "What does the future hold for small businesses in the public and private Exchange markets?"
What to Look for in 2017 ACA Marketplace Premium Changes
Market Performance Varies Among Insurers
Catching Up With… Michael Chernew PhD

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