In the past, women, people in less-than-perfect health, and older people were all charged much higher premiums than others—in fact, many were priced out of care. But, Obamacare changes that. The law alters the way that health plans can use an individual’s demographic and health information when setting premiums through the creation of new premium rating rules. This allows for a more even distribution of costs across all enrollees within the individual, non-group market (the market you buy coverage in if you don’t get it through your employer).
When a Health Insurer Leaves the Individual Market: What States Can Do before Certain Affordable Care Act Changes Take Effect in 2014
Explains how states can enact more comprehensive protections for consumers who buy health insurance on their own before the Affordable Care Act goes into full effect in 2014.
Provides national and state data on the millions of people with private insurance who will be helped by the new plain-language descriptions of health insurance required by the Affordable Care Act.
What could explain a health insurance company charging one 25-year-old nearly double what another pays for the same coverage?
No, it's not a pre-existing condition or chronic illness. It's gender.
The truth really is stranger than fiction: Even the CEO of one of the most powerful health insurance companies would have issues finding health insurance in the individual market.
One of the provisions of the Affordable Care Act is what’s known as the medical loss ratio requirement—better known as MLR. This requirement at one time caused a mild panic among insurers. But it turns out that the medical loss ratio requirement isn’t all that scary, and as the provision goes into effect this year, insurers are beginning to realize that not only will they NOT lose earnings, but it is very likely their profits will continue to grow.
Preventing Unwarranted Exceptions to the Affordable Care Act's Medical Loss Ratio (MLR) Requirements
Explains the opportunities for advocacy if state insurance regulators seek adjustments to the MLR requirements for their individual markets.
Those opposed to the Affordable Care Act have said a lot of crazy things to mislead Americans. From false talking points about health reform being responsible for double digit premium increases for policy holders, to the outright lie that the law is a “government takeover of health care,” the opposition has made it their job to misinform the public.
Learn what "grandfathered" plans are and which requirements health plans need to meet in order to keep this status.
Most of us know what a surplus is: When you have more of something than you need. And you’re probably wondering what that has to do with health care? According to a new report by the Consumer Union, seven out of 10 of Blue Cross Blue Shield’s nonprofit plans that were studied in a sample have been stockpiling a surplus of cash, all the while continuing to significantly increase premiums for many consumers in the private market.