Effects of the ACA’s 3Rs (Reinsurance, Risk Adjustment, and Risk Corridors) on the Bottom Line (Part II)
Yesterday, I looked at the aggregate effects of some of the ACA’s premium stabilization programs (reinsurance, risk adjustment, and risk corridors, the 3Rs). Today, I illustrate the potential effects of the 3Rs on insurers’ reported revenues, costs, and underwriting profits (losses).
Effects of the ACA’s 3Rs (Reinsurance, Risk Adjustment, and Risk Corridors) on the Bottom Line (Part I)
We now have better information on how the “3Rs”—the ACA’s mechanisms designed to help stabilize premiums and protect insurers against large losses in the first years of health care reform—affected insurers’ bottom lines in 2014. In this first of two posts, I review the information reported by CMS for two of the 3Rs: reinsurance and risk adjustment.
Fifty years ago, on July 30, 1965, President Lyndon Johnson signed Medicare and Medicaid into law. Over the next two years, more than 29 million people gained health coverage through these programs. By 1967, as Alice Rivlin recalls, economists were sounding an alarm about rising Medicare costs and reporting to the President that projected growth would be unsustainable.
Recent political events have underscored the interconnectedness of the global pharmaceutical system, and the important influence of political and economic factors in the domestic and international drug market.
The Affordable Care Act (ACA) mandates that private health insurance plans cover all FDA-approved prescription contraceptives with no cost-sharing.
There’s been a lot of talk about "narrow" networks in ACA plans, which trade off limited provider coverage for lower premiums. Using a new integrated dataset of physician networks in plans on the federal and state marketplaces, our latest LDI/RWJF Data Brief describes the breadth of physician networks across all silver plans sold in 2014.
The Affordable Care Act (ACA) has prompted health plans to increase their use of “narrow networks” of providers as a cost containment strategy. The Leonard Davis Institute of Health Economics (LDI) has assembled the first integrated dataset of physician networks for the plans offered on the ACA marketplace. This data brief uses this new resource to describe the breadth of the physician networks in plans sold on the state and federal marketplaces.
Cross-posted with the Philadelphia Inquirer
Imagine a woman in labor who goes to the hospital with a delivery plan she made in consultation with her obstetrician: yes to antibiotics in labor; no to an epidural for pain control; yes to neonatal circumcision; and yes to having an intrauterine device (IUD) placed immediately after childbirth.