Category Archives: Private Market

Is The Price Right? Now You Can Check. Massachusetts Issues Consumer-Friendly Transparency Guidelines for Health Insurers

Economist Uwe Reinhardt has an apt description of how the complete lack of information around health insurance prices feels to consumers: “Imagine a department store whose customers are blindfolded before entering. A shopper might enter the store seeking to buy … Continue reading

Posted in Healthcare Cost Control, Private Market | Leave a comment

HPC Committee Hears Testimony on Consumer Appeals Regulation

The Health Policy Commission’s (HPC) Quality Improvement and Patient Protection Committee held a hearing Monday on proposed amendments to 958 CMR 3.000, the Office of Patient Protection (OPP) regulation governing health plan internal and external appeals procedures.  The proposed amendments … Continue reading

Posted in National Health Reform, Private Market | 1 Comment

HCFA Urges Massachusetts To Reject Extending Non-Compliant Plans (UPDATE: Admin agrees with us)

The Obama administration’s decision to permit insurers to continue to offer plans they otherwise would have cancelled (here’s some good place-it-in-context background from The New Republic’s Jon Cohn) is still subject to state insurance market rules. Already a number of … Continue reading

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All Your Base Rates Are Belong To Us: Springfield Republican Reports on Premiums Under Obamacare

Yesterday, a story by Shira Schoenberg in the Springfield Republican  covered the just-approved health insurance rates for next year: The basic cost of a health care plan for an individual or small business in Massachusetts will increase, on average, by … Continue reading

Posted in Healthcare Cost Control, National Health Reform, Private Market | 1 Comment

Remember That Dire ACA Forecast? Never Mind.

Remember that dire report commissioned by the Mass Association of Health Plans from July (it’s here (pdf))? Never mind. The report was an attempt to forecast the impact of the ACA on small group and individual premiums in Massachusetts. The … Continue reading

Posted in National Health Reform, Private Market | 2 Comments

Interview: Liz Is Happy To Gets Her “Medical Loss Ratio” Rebate From Her Insurer

Under both Massachusetts law and the ACA, insurers must spend a minimum percentage of health care premium revenue on medical benefits for the people they cover. This is called the “Medical Loss Ratio” (MLR) in insurance argot. If insurers don’t … Continue reading

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Consumer Appeal Rights Comments Wanted

The Health Policy Commission’s (HPC) Quality Improvement and Patient Protection Committee convened yesterday. The meeting focused on a discussion of the Office of Patient Protection’s (OPP) internal and external review procedures, and culminated in a lively listening session advising OPP … Continue reading

Posted in Private Market | 3 Comments