The California Pre Existing Conditions Insurance Plan is now second behind Pennsylvania with the highest number of enrollees in the new government Pre Existing Conditions Insurance Plan. To-date, the golden state has enrolled more than 6,000 residents. The new healthcare law requires states to offer health insurance for pre existing conditions to eligible residents. Under the Pre Existing Insurance Plan, an uninsured resident of a state who is a citizen or legal resident of the United States that has a pre [...]Read More » Authored by Administrator in California, Government Pre Existing Condition Insurance Plan, Pennsylvania | Comments Off
Welcome to the New Healthcare Law Center and State News
The new healthcare law, called the Patient Protection and Affordable Care Act (PPACA), represents comprehensive healthcare reform legislation signed into law on March 23, 2010. It contains numerous provisions designed to protect consumers and promote low cost medical insurance, including many new taxes to pay for the cost.
In this section of the site, you can also obtain the following information specific to your state: available medical insurance options, efforts to regulate medical insurance premiums, healthcare, the individual medical insurance marketplace and the new healthcare law.
Our objective is to help Americans make sense of the new healthcare law by explaining key provisions in plain English and assisting individuals, families and the self-employed in using this information to find and secure affordable medical insurance.
A key provision of the new healthcare law designed to promote affordable medical insurance is called the “minimum loss ratio” or MLR for short. It requires health insurance companies in the individual medical insurance marketplace to spend no less than 80% of every premium dollar collected from customers on claims. This includes expenses for medical services and supplies, such as hospitalization, surgery, office visits, x-ray, lab and prescription drugs. Along with claims, health insurance companies can also spend money on [...]Read More » Authored by Pete S - Sr. Staff Writer in Anthem Blue Cross of California, Blue Shield of California, California | Comments Off
A new report by the Kaiser Family Foundation reveals the results of an in depth study into the competitiveness of each state’s individual health insurance marketplace. The results will likely surprise you. This report is important because a “competitive” market is considered healthy and robust with no one insurer dominating the market place. Generally speaking, a more competitive market translates to more affordable medical insurance. The greater a health insurance company’s market share, for example, the more leverage it has to [...]Read More » Authored by Pete S - Sr. Staff Writer in Alabama, Colorado, District of Columbia, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maryland, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Oregon, Pennsylvania, South Dakota, Tennessee, Vermont, Virginia, Wisconsin | Comments Off
Health Saving Accounts (HSAs) paired with a high deductible medical insurance plan have significantly gained in popularity over the past several years for self employed individuals, families and employers of all sizes. These consumer driven health plans (CDHPs) offer low cost medical insurance and often lower out of pockets costs than traditional health insurance plans. In 2005, total HSA enrollment was only 1 million persons, while 11.4 million individuals as of January 2011 were enrolled in an HSA coupled with a high [...]Read More » Authored by Pete S - Sr. Staff Writer in Alaska, California, Colorado, Connecticut, Delaware, Florida, Georgia, Health Saving Accounts, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Montana, Nebraska, New Hampshire, North Carolina, Ohio, South Carolina, Tennessee, Texas, Vermont, Wisconsin | Comments Off
The National Committee for Quality Assurance (NCQA) recently published the results of their annual survey, called “NCQA’s Health Insurance Plan Rankings.” It evaluated 390 health plans in three categories: 1) Medicare, 2) Medicaid and 3) Private (commercial) Health Insurance Plans. While the rankings are predominantly focused on quality, consumers must still do their own homework to determine if a particular health plan provides affordable medical insurance. For individuals seeking enrollment in a Health Maintenance Organization (HMO), this report is useful [...]Read More » Authored by Pete S - Sr. Staff Writer in Colorado, Florida, Maine, Massachusetts, New Hampshire, Pennsylvania, Rhode Island, Wisconsin | Comments Off
Health insurance companies are now required to post explanations of premium increases of 10% or more and submit them for review to state and federal regulators. This mandate is required by the new healthcare law. By requiring health insurance companies to justify premium increases, there is greater price transparency and increased public pressure to keep rates lower in order to avoid bad press. The new law still has a loophole though. Even if government officials consider the premium increase unjustified, the [...]Read More » Authored by Pete S - Sr. Staff Writer in Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, Premium Increases - New Healthcare Law, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, Washington, West Virginia, Wyoming | Comments Off
The state of Washington’s largest health insurance company, Regence Blue Cross Blue Shield, is under fire again with insurance regulators. The company has been instructed to fix recurring administrative errors that impact thousands of their members. The Insurance Commissioners from Washington, Oregon, Idaho and Utah recently met with Regence Blue Cross Blue Shield. The regulators contend the problems are not one time, non-recurring situations. The issues include: providing incomplete and inadequate responses to insurance commissioner complaint letters denying contraceptive claims incorrectly [...]Read More » Authored by Pete S - Sr. Staff Writer in Idaho, Oregon, Regence Blue Cross Blue Shield, Utah, Washington | Comments Off
The Insurance Division for the state of Nevada just announced it will be accepting feedback from consumers about premium increases on individual medical insurance plans and employer group health plans. The new healthcare, called the Patient Protection and Affordable Care Act, mandates health insurers publish proposed premium rate increases on the web so consumers can communicate their feelings about the rate hikes. For this purpose, the state Insurance Division installed a new section on its website to allow individuals and small employer [...]Read More » Authored by Pete S - Sr. Staff Writer in Nevada, Premium Increases - New Healthcare Law | Comments Off
South Carolina has declined to accept millions of federal funds appropriated by the new healthcare law to help states set up medical insurance exchanges and will also let key deadlines pass. The health insurance exchanges are scheduled to open in 2014. Governor Haley said the federal plan is not the right fit for South Carolina. To date, only sixteen states and Washington D.C. have accepted federal funds thus far, according to the U.S. Department of Health and Human Services. If a [...]Read More » Authored by Pete S - Sr. Staff Writer in Insurance Exchanges - New Healthcare Law, South Carolina | Comments Off
New rate filing requirements for individual medical insurance plans and small employer group health insurance have just been implemented by the Michigan’s Office of Financial and Insurance Regulation. These new rules apply to new health insurance rate filings and are in accordance with the rate review provisions of the new healthcare law, called the Patient Protection and Affordable Care Act (PPACA). Historically, all health insurers had to file rates for individual medical insurance plans in Michigan. Additionally, Blue Cross Blue [...]Read More » Authored by Pete S - Sr. Staff Writer in Michigan, Premium Increases - New Healthcare Law | Comments Off