DHCFP Annual Public Hearing: Health Care Cost Trends. Commissioner Joseph G. Murphy Massachusetts Division of Insurance June 27, 2011. Premium Trends. DHCFP Premium Trend Reports have illustrated
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Commissioner Joseph G. Murphy
Massachusetts Division of Insurance
June 27, 2011
WHAT IS PERMITTED UNDER
New Chapter 288 (signed by Governor Patrick on August 10, 2010) Process to Review Rate Filings
New Chapter 288 Rate Disapproval Standards
New Product Offerings
Carriers that cover more than 5000 eligible individuals or small employers are required to offer a limited or tiered network product to eligible individuals and small employers in the largest metropolitan region in the carrier’s service area that costs at least 12% less than the carrier’s most actuarially similar non-limited/non-tiered network product.
Chapter 288 of the Acts of 2010 amended a longstanding provision in the Massachusetts market for small group health coverage that prohibited small employers from joining together to negotiate rates with health carriers. The Division promulgated regulations that facilitate the creation of 6 group purchasing cooperatives that can offer coverage to members of qualified associations who have contracted with the cooperative.
WHAT NEEDS TO BE ADDRESSEDIN NEW LAWS
Addressing the increase in premium levels
requires addressing the increase in reimbursement
Governor’s bill addresses
inefficient provider systems
excessive rates of provider reimbursement
Addressing excessive levels of provider reimbursement
Developing More Efficient Systems of Care