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... broker and agent commissions should be included in the MLR calculation so that it accurately reflects the proportion of spending by insurers on health care as opposed to administrative expenses. Removing commissions from the calculation would violate the intent of the ACA and render the MLR ... table the MLR issue for the time being, but the NAIC could raise it again, possibly in the next few weeks.   In other news, the Department of Health and Human Services "listening tour" on what should constitute "essential health benefits" that health plans sold in the new exchanges must ...

In the States   As we previously noted in this space, the Department of Health and Human Services (HHS) has tasked each state with defining an essential health benefits (EHB) package that will cover 10 broad categories defined in a December 16, 2011 HHS bulletin. In combination with this task, ... A new Commonwealth Fund report on gaps in health insurance shows that segments of target audiences for two popular provisions of the Affordable Care Act are unaware of its benefits. Overall the majority of Americans know about the provision allowing individuals under 26 to stay on their ...

In the States   As we previously noted in this space, the Department of Health and Human Services (HHS) has tasked each state with defining an essential health benefits (EHB) package that will cover 10 broad categories defined in a December 16, 2011 HHS bulletin. In combination with this task, ... A new Commonwealth Fund report on gaps in health insurance shows that segments of target audiences for two popular provisions of the Affordable Care Act are unaware of its benefits. Overall the majority of Americans know about the provision allowing individuals under 26 to stay on their ...

Below is this week’s update on the Affordable Care Act. As always, thank you for all you do every day to support laws and policies that help cancer patients and their families.   National ... percentage insurers spend on benefits versus administrative costs, under the Affordable Care Act. The NAIC proposal now goes to the Secretary of Health and Human Services (HHS), who will in turn issue a federal regulation based on the proposal.   Read the NAIC press release .   This is ... Assistance Program Grants this week that will allow states to provide direct assistance to consumers with questions or concerns regarding their health insurance.   To date 35 states, four territories and the District of Columbia applied for and received grants to establish programs that ...