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Showing posts from March, 2013

WSJ - Insurer Health Premium Warnings Continue

Today's Wall Street Journal has another article concerning warnings by health insurers about potentially high premiums in January when Obamacare kicks in.

Health insurers are privately warning brokers that premiums for many individuals and small businesses could increase sharply next year because of the health-care overhaul law, with the nation's biggest firm projecting that rates could more than double for some consumers buying their own plans.
In a private presentation to brokers late last month, UnitedHealth Group Inc., the nation's largest carrier, said premiums for some consumers buying their own plans could go up as much as 116%, and small-business rates as much as 25% to 50%. 
Aetna Inc., in a presentation last fall to its national broker advisory council, suggested rates on individual plans not being grandfathered under the law could go up 55%, on average, …

Narrow Provider Networks For Exchange Health Plans?

An article in today's Wall Street Journal reinforces something we brokers have known for quite some time--health exchange plans will have limited provider networks for access to healthcare.
These networks, known as limited or narrow networks (a newer term is ACO - accountable care org) will have a much smaller number of participating providers and will be working with lower negotiated rate schedules than traditional networks such as Blue Cross' Prudent Buyer Network.
For those who purchase health coverage inside of the exchange, the availability of healthcare providers will be markedly less than plans sold on the open market.  This may mean that Blue Cross or Blue Shield PPO health plans may not offer BlueCard national PPO access on plans sold through the exchange leaving that benefit to normal network plans sold outside of the exchange.
Once the California health plans are developed and released for the exchange and non-exchange markets, we will have a clearer idea about the net…