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The Affordable Care Act (ACA) established the health insurance rate review program in order to protect consumers from unreasonable rate increases. [1] Through this program, proposed premium increases in the small group and individual markets that are above a threshold amount (ten percent or more, as of February 2014) are reviewed by states or the federal government to determine whether the ...
Data used to create those ratings is a bit dated—2025 ratings are based on the 2023 performance of plans, says Suzanna-Grace Tritt, a senior consulting actuary with the Wakely health care ...
U.S. health insurance coverage by source in 2016. CBO estimated ACA/Obamacare was responsible for 23 million persons covered via exchanges and Medicaid expansion. [5] This chart illustrates several aspects of the Affordable Care Act, including number of persons covered, cost before and after subsidies, and public opinion.
HEDIS results must be audited by an NCQA-approved auditing firm for public reporting. NCQA has an on-line reporting tool called Quality Compass that is available for a fee of several thousand dollars. It provides detailed data on all measures and is intended for employers, consultants and insurance brokers who purchase health insurance for groups.
In some states, both plans have a high deductible option. A person with such a plan must pay the Medicare-eligible costs amounting to $2,870 in 2025 before the plan coverage starts.
Each letter describes a different level of coverage and all insurers typically offer the same benefits for the same letter; Plans C and F are only available to people who were eligible for ...
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