Washington, DC (PRWEB) January 22, 2013
When HHS finally issued details late last year on how the three risk-mitigation programs in the health reform law would work, the proposed rule answered a lot of questions. Despite the issuance of detailed proposed regulations, however, serious questions remain about how the programs will operate and how successful they can be in limiting adverse selection. On Jan. 31, a top health insurance actuary and an executive of a large Blues plan will explore the many implications of these complex programs, and make concrete suggestions about how best to prepare for them, in the latest webinar from Atlantic Information Services, Inc., “The Impact of ‘3Rs’ Programs on Insurers: How Big, How Soon, How to Prepare.”
The so-called “3Rs” (risk adjustment, risk corridors and reinsurance) programs represent the key mechanisms in the health reform law to stabilize insurance premiums beginning in 2014, when the start of exchanges — plus the end of benefit caps, pre-existing condition exclusions and most underwriting — virtually ensure there will be substantial adverse selection of beneficiaries. Commercial plans will need to assess the extent of the programs’ impact on the adverse selection of enrollees in order to determine how to account for the 3Rs in their premium setting. And to do that, they’ll need to carefully consider whether the three programs have sufficient funding, how the 3Rs interact with medical loss ratio and other reform requirements, and how to get the data they’ll need for the initiatives.
In this Jan. 31 webinar, David Tuomala, director of actuarial consulting for OptumInsight, and Scott Keefer, vice president of policy and legislative affairs for Blue Cross and Blue Shield of Minnesota, will give webinar attendees answers to the following questions:
For more details and registration information on “The Impact of ‘3Rs’ Programs on Insurers: How Big, How Soon, How to Prepare,” visit http://aishealth.com/marketplace/c3r05_013113.
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.