This report is one of a series papers focusing on ACA implementation issues uncovered in Alabama, Colorado, Maryland, Michigan, Minnesota, New Mexico, New York, Oregon, Rhode Island and Virginia.
This report, as part of the Affordable Care Act (ACA) Implementation—Monitoring and Tracking series, examines the status of rate review in 10 featured states. Implemented in August 2010, rate review is intended to constrain unjustified premium increases through a comprehensive review process that helps ensure that insurers’ insurance rates are based on accurate, verifiable data and realistic projections. The report finds that although there was significant variation, all 10 states have taken action to improve their rate review process and ensure that insurers’ proposed rates are justified.
Prepared by researchers at Georgetown University Health Policy Institute’s Center on Health Insurance Reforms, the report summarizes how the 10 states have enhanced their rate review authority and processes, increased transparency, and expanded consumer outreach in response to the ACA.
- 1. Early Market Reforms
- 2. Plan Participation in Health Insurance Exchanges: Implications for Competition and Choice
- 3. Rate Review: Monitoring State Implementation of the Affordable Care Act in 10 States
- 4. State Progress in Implementing Health Insurance Exchanges: Results from 10 State Analyses
- 5. Progress in Implementing Selected Medicaid Provisions of the Affordable Care Act: A 10-State Analysis
- 6. Will There Be Enough Providers to Meet the Need? Provider Capacity and the ACA
Six states have an effective rate review process for all markets, while three had a partially effective rate review process.
All 10 states applied for and received rate review grants and reported improvements to the quality of the rate review process as a result.
The majority of states appear to review the ACA’s rate review provisions as a welcome opportunity to hold insurers more accountable for rates, educate the public about the factors underlying rate increases, and make the rate review process more transparent and inclusive for consumers.
ACA Implementation Monitoring and Tracking: Cross-Cutting Issues
These reports examine health reform implementation trends across the 10 study states, and provide timely updates for policy-makers and stakeholders.View the series
- About this grant