Article
28 March 2025 - by Daniel Perlman, Les Kartchner, Brent Jensen
Our research shows that lower-cost groups moving to the level-funded market will likely result in higher costs for those remaining in the ACA small group market.
Article
19 March 2025 - by Daniel Perlman, Les Kartchner, Brent Jensen
With multiple health plan funding options available to small employers, we analyze the impact of shifts to level-funded plans.
Article
03 January 2024 - by Daniel Perlman
Market interest rates could impact premium for health insurance issuers making large risk-adjustment transfers, due to a time lag after the plan period ends.
Article
13 November 2020 - by Catherine M. Murphy-Barron, Doug Norris, Daniel Perlman
As chief financial officers and actuaries attempt to determine the pandemic’s impact on year-end financial statements, this article describes five issues that require additional attention.
Article
07 May 2020 - by Daniel Perlman
The Transparency in Coverage proposed rule is a reaction to the current opacity of healthcare pricing to most people.
Article
01 November 2019 - by Dustin Grzeskowiak, Darin Muse, Daniel Perlman
There may be some uncertainty for plans and consumers alike around the Quality Information Rating Bulletin—specifically, what the quality scores represent, how they are developed, and/or how they may be used now or in the future.
Article
30 November 2017 - by Stoddard Davenport, Stephen P. Melek, Daniel Perlman
As state and federal regulators increase their focus on the enforcement of mental health and addiction parity laws, nonquantitative treatment limitations have emerged as a key trouble area for some health plans.
Article
22 November 2017 - by Stoddard Davenport, Michael Mager, Katie Matthews, Stephen P. Melek, Daniel Perlman
What has happened to utilization and costs for mental health and substance use disorder benefits as the mental health parity laws and associated rules were slowly rolled out?
Article
26 October 2017 - by Stoddard Davenport, Katie Matthews, Stephen P. Melek, Daniel Perlman
Nonquantitative treatment limitations continue to be a source of difficulty for many health plans in attaining compliance with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008.
Article
28 December 2016 - by Daniel Perlman