and PricewaterhouseCoopers Health Solutions MedCom announced two new positions in the health care cost trends over the past week, following the release of PwC Milliman Medical Index Health Research Institute, "Beyond the numbers. Medical cost trends for 2012," examines trends in medical costs for employers in 2012. This new report "Medical cost trend is expected to increase by 8 percent in 2011 to 8.5 percent in 2012." And the two main drivers identified PwC services are consolidation and cost shifting to the private sector.
Provides view of prescription drug utilization and cost trends, MedCom Annual Drug Trend Report revealed this week that while the overall increase in prescriptions in the historic low (as a result of increased use of generic drugs), the cost of special treatment is still increasing at an alarming rate. MedCom to report "Specialty drug trend was 17.4 percent in 2010, supported by the unit cost growth of 11.5 percent."
federal
No federal report this week.
Arizona: Department of Insurance (DOI) held a public hearing on the review of rates as part of its Health and Human Services (HHS) grant aktivnosti.DOI retained Mercer Consulting to assist in carrying out gap analysis to identify areas that need to be resolved in order to in accordance with the requirements of the Act on the Protection of affordable (ACA). During discussion it was noted that the current state system does not legally authorize DOI to review health insurance medical loss ratio, the potential does not allow the state to meet the requirement that HHS has "effective rate review process."
Director of Insurance and the governor also hosted the first working group on implementation of the exchange. Despite the refusal to make legislative changes to the law, there is concern at the executive level about the lack of preparedness in case of ACA is not repealed or found unconstitutional. This week's theme was qualified health plan certificate, and participants focused on not adding ACA requirements beyond the minimum income requirements.
CALIFORNIA: .. In any committees of both houses were wading through the many different bills that would impact on government finance records meet certain dollar thresholds are sent to the "uncertainty" filing for consideration at subsequent hearings Most laws that Aetna and other allies of the difference is sent to the "uncertainty" submission, including a bill on the regulation of rates and bills to receive the mandate, the fiscal impact of every law and potential conflicts with federal guidance on the essential benefits. These accounts can be revived at a later date, or May they be held by the Board. We expect that most of the bills to be voted off the suspense file until the end of the month, including.
Rate Control - The means, there would be no annual fee supported special fund costs at least $ 30 million DMHC and CDI.
Rate Control - The means, there would be no annual fee supported special fund costs at least $ 30 million DMHC and CDI.
Autism mandate - According to a study committee, this bill will result in annual cost in the following governmental bodies:
CalPERS: $ 9,000,000
Medi-Cal for enrollees in managed care plans: $ 114 million
MRMIB plans (Healthy families, AIM, MRMIP): $ 37 million
The state budget news, the governor will release his May revision to the state budget next week, taking into account new data which shows revenues the state taking more than $ 2 billion in new tax contingencies dolara.Guverner is still believed to be asking voters for expansion of higher tax rates will expire this summer is the right thing to do, because higher revenue forecasts would not close the entire budget deficit. Republicans, however, are quick to argue that the higher revenue forecasts mean that the extension of tax rates is not required at this time.
Connecticut: The legislative session adjourns 8th June, but legislators have yet to reach conclusion on several important issues, including the exchange of bills, review and rate SustiNet account While the law SustiNet compromise language is not public. government and press reports have said the bill does not include a public option, but will create an advisory committee on health reform and implementation of future reforms of the state exam. In addition, anti-most-favored-nation clauses of laws passed House and now goes to the Senate for consideration. Aetna supported the law with izmjenama.Zakona is expected to pass. In addition, the recently released HHS rate rule review may push legislators to advocate for the adoption of the federal 10 percent trigger for review of rates in Connecticut, just in case the federal law is repealed.
Delaware: Department of Insurance (DOI) filed a medical loss ratio (MLR) waiver application to HHS for pojedinca.DOI requires adjustment proposes a three-year phase-in of the MLR as follows: 65 percent for 2011, 70 percent for 2012, and 75 percent in 2013 .
Georgia. Deal governor signed a law that applies to state prompt-pay standards for self-funded plans, Aetna will work with self-funded customers who have questions about the validity of the new law and its application to their plans, which are usually covered by ERISA.
No comments:
Post a Comment