Policy & Law

Indiana Seeks Exemption from Key ACA Provision

1 Mins read

From the Did You Know category today: the state of Indiana is challenging a key provision of the ACA having to do with the medical loss ratio for insurers. That’s the amount by which insurance premiums are set a certain degree of cost implementation for overhead. The ACA requires the insurer to spend 80 percent on healthcare delivery, or else pay a fine. Indiana is pursuing a federal waiver from this proviso. Healthcare consumer advocacy weighs in.

From the Did You Know category today: the state of Indiana is challenging a key provision of the ACA having to do with the medical loss ratio for insurers. That’s the amount by which insurance premiums are set a certain degree of cost implementation for overhead. The ACA requires the insurer to spend 80 percent on healthcare delivery, or else pay a fine. Indiana is pursuing a federal waiver from this proviso. Healthcare consumer advocacy weighs in.

Indiana’s application is based on state politicians’ ideological opposition to health reform, not the realities of the state’s health care market … As the MLR regulations make clear, there must be a credible threat to the stability of the individual marketplace in order to grant a waiver. Indiana has demonstrated no such threat. We urge [HHS] to reject Indiana’s application.

Indiana is the only state in the country to request that consumer high deductible health plans be exempted from MLR provisions unconditionally. HHS will ultimately decide on the matter. | LINK

Related posts:

  1. Dem Senator Launches Inquiry into McDonalds Corp. Employer-Based Coverage About one month to go before a possible referendum on…
  2. Insurance Spent Big in ’09 to Fight Public Option Provision The lobby AHIP spent close to $90M in an effort…
  3. During Open Enrollment, Time to Reflect on Reform’s Medicare Advantage Provision A major provision in the healthcare reform law, the restrictions…

 

Related posts
Medical EducationPolicy & Law

Why Refinancing Medical School Lending Makes Sense

2 Mins read
Once you graduate from medical school you probably assume your financial situation will improve dramatically. While it is true that you will…
Policy & Law

Here’s What You Need to Know About Post-Accident Action Items

3 Mins read
Comedians and entertainers love to poke fun at lawyers, especially those who specialize in car accidents or other personal injury claims. But…
Medical EthicsPolicy & Law

5 Steps to Starting a Medical Malpractice Suit

2 Mins read
If you have been a victim of medical malpractice, it may seem overwhelming to even contemplate bringing forth a medical malpractice suit….