In 2019, the Washington legislature enacted a bill requiring insurers on the state’s health insurance exchange to offer plans with standardized benefit designs, beginning in 2021. Colorado and Maryland are considering similar requirements. As these and other states consider the option of standardized health plans, they can benefit from the experiences of California, the District of Columbia (D.C.), Connecticut, Massachusetts, New York, Oregon, and Vermont, all of which require insurers to offer standardized benefit designs. This Expert Perspective outlines benefits and risks of plan standardization, and raises critical questions that states will need to consider, and offers a decision roadmap for states implementing a standardized benefit design requirement.
All-Payer Claims Database Small Group Convening
The State Network hosted a APCD Small Group Convening on January 23-24, 2014 in New Orleans, LA.
The State Network hosted a Small Group Convening in New Orleans, LA on January 23-24, 2014, bringing together state officials and technical experts to discuss All-Payer Claims Databases and rate review. The agenda can be found here and selected presentations and resources from the meeting are compiled and listed by session below.
Colorado – Colorado APCD
Maine – Health Cost
Massachusetts – My Health Options
Massachusetts – Description of Massachusetts APCD data elements for risk adjustment in the HHS Notice of Benefit and Payment Parameters for 2014
North Carolina – Rate Filing Template
Oregon – Recommendations for Aligning ACA Implementation with Oregon’s Health System Reform – see specifically page 12 for information on transparency, rate review, and measurement dashboard.