State Legislative/Regulatory News

Self-Insurance Institute of America, Inc. Exclusive Reporting for the Week of March 25, 2014 March 25, 2014 — This is your weekly update of state legislative/regulatory developments affecting companies involved in the self-insurance/alternative risk transfer marketplace. Should
Continue Reading →

Report Finds That Health Exchange Insurance Purchases Are A Good Deal; Healthcare.gov Has New Section

Kaiser Health News A new PricewaterhouseCoopers report finds that the average premium on an exchange is lower than the average premium of an employer-sponsored health plan. Meanwhile, the federal health online marketplace has added a new section to allow consumers who have already sig
Continue Reading →

Maryland rep wants state to switch to using federal insurance marketplace

By Paul Demko In a move that would have been unimaginable less than two months ago, a Democratic congressman from a state that has a dysfunctional state-run insurance exchange wants to let people buy coverage through the improved federal HealthCare.gov website. Read more…
Continue Reading →

Per-person healthcare spending highest in Mass.; Minn. sees decline

By Andis Robeznieks Massachusetts leads the nation in the percentage of residents with health insurance. It also spends more on healthcare per person than any other state. In Minnesota, meanwhile, health spending actually declined. Read more…
Continue Reading →

More Turmoil in State Health Exchanges

By Amy Schatz The leader of Minnesota’s health-insurance marketplace resigned after taking a two-week vacation in late November when the state’s website was experiencing technical problems, making her the fourth state health-insurance chief to be ousted. Read more…
Continue Reading →

States’ Implementation Of Exchanges May Decide Fate Of ACA.

Over the holiday weekend through today, a number of national outlets reported on exchange implementation occurring across the US. Notably, from a national perspective, Bloomberg News  (5/28, Nussbaum) reports that the fate of the Affordable Care Act is “being decided far from Capitol
Continue Reading →

Employers seek clarity on health reform law mandate on essential benefits

Despite rules that require mental health, behavioral health and substance abuse treatment be included as essential health benefits in 2014, employers say they need more clarification on the benefits that will vary greatly by state. Final rules the U.S. Department of Health and Human S
Continue Reading →

Minnesota hospitals bash new Blues payment policy

Minnesota Hospital Association says rural hospitals, in particular, will be pushed into deep red ink A new Blue Cross and Blue Shield of Minnesota payment policy will cost hospitals millions of dollars and push many small, rural hospitals “into deep, deep red ink,” the Min
Continue Reading →

Mayo Clinic’s Upmarket Move

Hospitals Compete for Well-Heeled Patients as Employers Trim Health Spending ROCHESTER, Minn.—The Mayo Clinic has big plans to join other top-flight medical centers in an expensive fight for well-heeled patients, but it faces a problem: Its sleepy hometown needs a face-lift. Mayo, the
Continue Reading →

States Try to Impose Tougher Stop-loss Limits on Self-insured Health Plans

Recently, four bills were introduced in state legislatures that would make self-funding less attractive by limiting stop-loss coverage for self-insured health plans. Many such proposals would raise minimum specific deductibles above the standard $20,000 seen in most enacted laws. This
Continue Reading →