Where Might Premiums Be Heading? Data on 2014 Medical Loss Ratios Suggest Rate Changes May Vary Widely Across States

Brief

Where Might Premiums Be Heading? Data on 2014 Medical Loss Ratios Suggest Rate Changes May Vary Widely Across States

Abstract

The Affordable Care Act (ACA) transformed states’ individual health insurance markets in 2014 with new consumer protections and benefit standards and the establishment of health insurance marketplaces offering subsidized coverage. We use 2013 and 2014 data reported by insurers to the National Association of Insurance Commissioners (NAIC) to examine changes by state and market in average claims, premiums and medical loss ratios (MLRs) (i.e., medical claims and quality improvement expenses as a percentage of premiums). We discuss how findings shed light on where 2016 premiums are likely headed, and how this varies widely across states.

Research Area: 

Centers

To reuse content from Urban Institute, visit copyright.com, search for the publications, choose from a list of licenses, and complete the transaction.

LATEST IN Health and Health Policy

To reuse content from Urban Institute, visit copyright.com, search for the publications, choose from a list of licenses, and complete the transaction.