United Health Care - Opting Out of Most Exchanges!

[Tkruger]

Initial FFM QHP Application Submission Window4 4/11/2016 – 5/11/2016

Issuers submitting QHP applications to participate in Marketplaces served by the Health Care.gov platform are required to submit their QHP Rates Table Template by May 11, 2016 even if their Unified Rate Review Template (URRT) is not due until a later date.

 

[kgmom219]

Initial FFM QHP Application Submission Window4 4/11/2016 – 5/11/2016

Issuers submitting QHP applications to participate in Marketplaces served by the Health Care.gov platform are required to submit their QHP Rates Table Template by May 11, 2016 even if their Unified Rate Review Template (URRT) is not due until a later date.

So by 5/11, even though we know the rates are going to change, we will at least know who is NOT playing?

 

[Tkruger]

So by 5/11, even though we know the rates are going to change, we will at least know who is NOT playing?

I'm not sure to be completely honest. It could very well go on until Aug 1st.

The uniform posting deadline for a State with an Effective Rate Review Program to post on the State's website at least the information contained in Parts I, II, and III of the Rate Filing Justification that CMS makes available on its website (or provide CMS' web address for such information) for proposed rate increases that are subject to review for single risk pool coverage (including both QHPs and non-QHPs) is no later than August 1, 2016 for all single risk pool rate filings in the relevant market segment5. Proposed rate increases must be made available to the public at a uniform time, and not on a rolling basis, including publication of proposed rate increases on a State's website, in SERFF (System for Electronic Rate and Form Filing), and/or issued through press release. We encourage States with an Effective Rate Review Program to post at an earlier date if possible, to allow for robust public comments on proposed rate increases subject to review.

 

[Tkruger]

UnitedHealth's Profit Surges

UnitedHealth's second-quarter earnings jumped 11 percent to trump expectations even though the nation's largest health insurer took a bigger hit than expected from coverage linked to the Affordable Care Act.

The Minnetonka, Minnesota, company said Tuesday that losses from its ACA-compliant individual business came in $200 million above projections, which means the company now expects to lose around $850 million this year from what is essentially a small slice of its total operation.

UnitedHealth's Profit Surges, yet Affordable Care Act Drags | Business News | US News