The State Network team mourns the recent passing of our dear friend and colleague, Andy Hyman. Andy was the father of the State Network, seeing the value in connecting states with the expertise they need to achieve the vision of coverage that drove him every day.
Stemming from training at insurance departments in various State Network states, Georgetown University Health Policy Institute (Georgetown) has released updated form review checklists. These resources are designed to help insurance regulators effectively implement Affordable Care Act (ACA) provisions, regulations, and other guidance by ensuring that insurance forms submitted by carriers meet all the ACA requirements.
Federal regulations state that in order to be certified as a Qualified Health Plan in a Federally-facilitated marketplace, plans must be considered "meaningfully different" from all other plans in their subgroup. This document, prepared by the Georgetown Health Policy Institute's Center on Health Insurance Reforms, is intended to help insurance regulators to understand meaningful difference standards and the ways in which they are applied by CMS.
On April 9 at 3:00 pm ET, State Coverage Initiatives, in coordination with the State Health Reform Assistance Network, will host a free webinar to explore the considerations for 2016 rate development, filing and review based on a compilation of CMS regulations and guidance as well as insights from Wakely Consulting Group Actuaries.