Company News

On November 9, 2011 NovaRest Consulting was invited to the California Department of Managed Health Care (DMHC) Financial Solvency Standards board (FSSB) meeting. The meeting covered updates on Timely Access Regulation (TAR), Senate Bill 260 and Division of Financial Oversight (DFO).

( 0 comments ) + Add New Comment

So what goes into premium rates? Claim costs for one, which result from health care costs. Marketing and distribution costs are also a factor, along with administrative expenses, taxes, fees and assessments and a profit margin to cover cost of capital and solvency protection. Here’s a look at each of the biggest drivers:

( 0 comments ) + Add New Comment

Ms. Novak will discuss the different ways in which states are assessing premium increases and how insurers and consumers will be affected by these efforts, in a panel organized by the Kaiser Family Foundation.

( 0 comments ) + Add New Comment

Industry News

Health insurance premium increases in five states have been deemed “unreasonable” by the U.S. Department of Health and Human Services, HHS Secretary Kathleen Sebelius announced today. After independent expert review, HHS determined that Trustmark Life Insurance Company has proposed unreasonable health insurance premium increases in five states—Alabama, Arizona, Pennsylvania, Virginia, and Wyoming. The excessive rate hikes would affect nearly 10,000 residents across these five states.

( 0 comments ) + Add New Comment

Health insurers in Kansas and Oklahoma can’t take more than 20 percent of the revenue they collect in premiums for overhead and profit, after the U.S. today denied requests from the states for more generous limits.

( 0 comments ) + Add New Comment

Two Massachusetts’ professional organizations have begun talking with the state’s commercial insurance plans about ways to provide lower-cost insurance options.

( 0 comments ) + Add New Comment