The coming year will bring additional regulatory oversight and new efforts by health insurers to manage it. Health insurers will be asked to justify rate increases for individual and group policies, according to the Department of Health and Human Services. Last week HHS said it will require rate increases of 10% or more to be publicly disclosed and reviewed.
The review does not include federal authority to reject rate hikes, but in states that lack resources for “thorough actuarial reviews” the feds will intercede, said HHS. If an increase is deemed “unreasonable,” the finding will be posted publicly.
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