Payer/Insurance Reform

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Constitutional Decisions on PPACA Begin

We are beginning to see action (and divergent results) on the various court challenges to PPACA, starting with two recent decisions. As explained in SSD’s Sixth Circuit Blog, the federal court for the Western District of Michigan dismissed the case of Thomas More Law Center, et al. v. Obama (E.D. Mich., Case No. 10-CV-11156) (PDF) that challenged whether Congress has authority … Continue Reading

NAIC Releases Draft Regulation on Medical Loss Ratios; Expresses Concerns Over Implementation [UPDATED]

On October 14, 2010, the National Association of Insurance Commissioners (NAIC) Health Insurance and Managed Care Committee approved model regulations relating to insurer calculation of medical loss ratio (MLR) for health coverages as required under the Patient Protection and Affordable Care Act (PPACA).  [UPDATE: On October 21, Executive and Plenary committees of the National Association … Continue Reading
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