State Legislative/Regulatory News

Self-Insurance Institute of America, Inc. Exclusive Reporting for the Week of May 14, 2014 May 14, 2014 — This is your weekly update of state legislative/regulatory developments affecting companies involved in the self-insurance/alternative risk transfer marketplace. Should you
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Federal Funding and State Health-Care Exchanges

By Chris Jacobs Conservatives have long argued that “first dollar” insurance coverage helps raise the cost of health care, as people tend to overconsume services they perceive as free. Implementation of state insurance exchanges appears to confirm that hypothesis: Several states that
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More Insured, but the Choices Are Narrowing

By Reed Abelson In the midst of all the turmoil in health care these days, one thing is becoming clear: No matter what kind of health plan consumers choose, they will find fewer doctors and hospitals in their network — or pay much more for the privilege of going to any provider they w
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These states rejected Obamacare’s Medicaid expansion, but Medicaid is expanding there anyway

By Jason Millman Even states that refused Obamacare’s Medicaid expansion are seeing enrollment growth in the health-care program, according to a new analysis. Read more…
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Turns Out Obamacare Premiums Aren’t More Expensive After All

By Lauren F Friedman When the cost of an employer-provided health insurance plan is compared to the cost of an Affordable Care Act plan bought on a state health insurance exchange, the ACA plan will be more affordable on average, a new analysis from PricewaterhouseCoopers’ Healt
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SIIA Requests NAIC Leadership to Reject Proposal Affecting Captives

Proposal to Change Definition of a Multi-State Reinsurer Could Adversely Affect Captive Insurance Industry May 13, 2014 – In a letter last week to Adam Hamm, president of the National Association of Insurance Commissioner (NAIC), SIIA President & CEO Mike Ferguson requested
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Obamacare Plans’ Unexpected Sticker Shock

By John Tozzi Alarming predictions that the premiums for individual health plans would skyrocket in the first year of Obamacare turned out to be largely unfounded. But the roughly 8 million people who bought insurance through the Affordable Care Act exchanges may suffer some sticker s
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What Surge? Nation’s Primary Care System Holding Up Well So Far Under Obamacare

By Phil Galewitz The headlines were ominous: Good luck finding a doctor under Obamacare. Not enough doctors for newly insured. Obamacare, doctor shortage could crash health system. Read more…
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Massachusetts health care reform law lowered death rates, study finds

By Karen Pallarito Providing greater access to health insurance led to a decline in deaths, according to a new study of Massachusetts’ health care reform law. Read more…
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Private health exchanges help introduce defined contribution approach

By Jerry Geisel The rapid development of private health insurance exchanges over the past two years have helped implant the defined contribution approach in how employers offer coverage to their employees. Read more…
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