Implementation Timeline 2010 2011 2012 2013 2014 2015 2016 - PowerPoint PPT Presentation

Mar 30, 2023 •297 likes •359 views

Implementation Timeline 2010 2011 2012 2013 2014 2015 2016 2017 Temporary High Risk Pool Program Temporary Reinsurance Program For Early Retirees Immediate Reforms: Extended Dependent Coverage No Lifetime Limits

Implementation Timeline 2010 2011 2012 2013 2014 2015 2016 2017 Temporary High Risk Pool Program Temporary Reinsurance Program For Early Retirees Immediate Reforms: • Extended Dependent Coverage • No Lifetime Limits • Internal/External Review • Restricted Annual Limits • No Pre-Existing Conditions for Children • Restrictions on Rescission • Disclosure of Justifications for Premium Increases • First Dollar Coverage of Preventive Services Medical Loss Ratios with Rebates Market Reforms • Guaranteed Issue • No Pre-Existing Condition Exclusions for Adults • Rating Rules • Essential Benefits Plans • No Annual Limits for Essential Benefits Exchanges Subsidies Individual/Employer Mandates Co-Op Plans & Multistate Plans Risk Adjustment Individual Market Reinsurance Program & Risk Corridors 2010 2011 2012 2013 2014 2015 2016 2017
Premium Stabilization Programs: The Three R’s Reinsurance Program (temporary) Risk Adjustment Program (permanent) Risk Corridor Program (temporary)
Addressing Risk: Reinsurance (2014-2016) Large Group Small Group Plans Plans $ $ Individual Third Party $ Plans Administrators $ Reinsurance $ Entity
Transitional Reinsurance Per-Enrollee Reinsurance Payments to the Administrative Cost Levied Year Payments US Treasury Expenses on Each Insurer* $63/ per 2014 $10 Billion $2 Billion Variable person (HHS Estimate) $44/ per 2015 $6 Billion $2 Billion Variable person (HHS Estimate) $26.25 Buck 2016 $4 Billion $1 Billion Variable Consultants Estimate
Addressing Risk: Risk Adjustment (Ongoing) Non- Risk Exchange Grandfathered Plans Plans $ $ $ $ Risk Adjuster
Addressing Risk: Temporary Risk Corridors

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