From Health Plan Week - Proposed legislation to create a public exchange metal tier category for low-premium “copper” policies flies in the face of the Affordable Care Act (ACA) goal to adequately cover more Americans, and it may also defeat the hopes of health insurers banking on younger, healthier lives enrolling in the exchange risk pool, market consultants say. The idea for a copper tier, to go along with the platinum, gold, silver and bronze now in existence, may also work against larger trends in the insurance business, which aim to bring more people more adequate coverage in a coordinated care model. Read more
From The AIS Report on Blue Cross and Blue Shield Plans - Blue Cross and Blue Shield plans, as well as many other insurance carriers, continue to reduce commissions paid to outside brokers and agents in an effort to reduce overhead. Just a few years ago, commissions of 20% were common among independent brokers and agents. But such rates were substantially reduced in 2011 in response to the medical loss ratio (MLR) provisions of the Affordable Care Act (ACA). Brokers tell The AIS… Read more
From Health Plan Week - Health insurance carriers once riding high on expectations that millions of newly insured lives from health insurance exchanges and Medicaid coverage expansions would bolster bottom lines instead have stumbled in their fourth-quarter 2013 earnings reports, possibly signaling a start to rougher roads ahead. Cigna Corp., for example, which told Wall Street on Feb. Read more
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