Panel of Experts to Discuss New Insurance Exchange Regs
Atlantic Information Services, Inc. (AIS) - August 2, 2011 - Washington, DC

Atlantic Information Services, Inc., publisher of Inside Health Insurance Exchanges, Health Plan Week, AIS’s Health Reform Week, Medicare Advantage News and ACO Business News, is pleased to announce its August 24 Webinar, New Insurance Exchange Regs: Strategies for Health Plans, Brokers, Providers and Employers. See webinar details at

On July 11, HHS Sec. Kathleen Sebelius released the much-anticipated, 200+ page proposed framework that states will use in developing and running insurance exchanges. More than any other provision of the reform law, exchanges will forever change the way individuals and small businesses purchase health insurance and how insurers sell it. While the transition to a nationwide network of state exchanges is an enormous opportunity for health insurers, rules developed by HHS and state exchange boards will determine exactly how viable this new market will be.

A panel of experts will discuss the proposed reg and help you understand the likely impact on health insurers, brokers/agents, employers and providers. During the 60-minute presentation and 30 minutes of Q&A, speakers Manny Munson of Ceridian Corporation, Sarah Lueck of the Center on Budget and Policy Priorities and Mark Lutes of Epstein, Becker and Green will give details about:

  • Rate hikes: The reform law requires exchanges to consider rate hikes in determining whether an insurer can participate. Will they also consider prompt claims payment history and the depth of provider networks?

  • Participation: While HHS could make certification requirements uniform across all exchanges, it also might allow each exchange to determine its own standards. Will insurers that don’t participate be able to thrive outside of the exchanges?

  • Family rating categories: HHS is considering “uniform family rating categories,” which it contends will increase competition among health insurers based on price and quality. How would such a system work, and how would it impact employers and health plans?

  • Certification, recertification and decertification: What hurdles will insurers face in becoming a “qualified health plan?” How difficult will it be to maintain certification?

  • Federal involvement: Some states want a model that combines a state-designed and -operated exchange with federally designed and operated business functions, such as eligibility and enrollment. How would this model impact health insurers?

  • Network adequacy: How much influence will exchanges have on provider networks? How will hospitals and physicians be affected?

  • Agents and brokers: Will states require that navigators meet licensing or certification requirements to sell coverage through an exchange? Who will compensate them, the insurer or the exchange?

  • Exchange boards: Health insurers want a seat at the table when states develop rules for their exchanges, but consumer groups don’t want health plans to be allowed on boards. How much influence are health insurers likely to have on exchange boards?

Visit for more details and registration information.

About AIS
AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at

Shelly Beaird-Francois
Atlantic Information Services, Inc.
1100 17th St., NW, Suite 300
Washington, DC 20036
202-775-9008 ext. 3064

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