Some 2027 ACA exchange plans could ditch provider networks A non-network plan proposal could help companies like Sidecar and Imagine360 compete with the HMOs and the PPOs.

The proposal could have a direct effect on the #ACA #FullyInsured small-group #HealthInsurance market, and it could have an indirect effect on all employer plans. #RBP #ProviderNetworks

Small-group health plans face benefits shakeup as CMS targets state mandates The NAIC is asking officials to apply new rules only to mandates imposed in 2027 and later.

#CMS officials say #states should eliminate any state #BenefitsMandates added since 2011. State officials are asking CMS to apply the requirement only for mandates imposed in 2027 or later. #SmallGroup #FullyInsured #ACA

Recent trends in commercial health insurance market concentration - Peterson-KFF Health System Tracker Insurer concentration has increased in the fully insured group health insurance markets while the individual market has grown more competitive, particularly since 2020.

Six states—Alabama, Alaska, Delaware, Louisiana, Mississippi, and West Virginia—have a #Fullyinsured #SmallGroup insurer with more than 90% #MarketShare. #HealthInsurance #monopolies

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Actual small-group health premiums rise 6.1% The member count at fully insured plans continued to fall, federal government market trackers report.

The average #SmallGroup #FullyInsured monthly premium ranged from $445, in Mississippi, up to $1,048, in Ohio. Nationwide average was $659. #HealthInsurance #Employers buff.ly/ScZplhz

What will it take to lure small employers back to the fully insured group health insurance? A compliance specialist thinks state-specific mandates for additional services are making coverage subject to the rules too expensive.

Supporters of #state autonomy contend that state legislators and regulators are in the best position to set rules addressing local needs. However, one cause of the decline of the #FullyInsured #SmallGroup market is the lack of #regulatory #uniformity.