Health Benefit Plan Contracting: A Background Paper

Simple item page
dc.contributor.authorSomerville, M.
dc.contributor.authorJohn, J.
dc.contributor.authorSkopac, J.
dc.date.accessioned2019-07-09T12:52:17Z
dc.date.available2019-03-26T15:08:30Z
dc.date.issued2011-08-18
dc.description.abstractThe Affordable Care Act (ACA) requires states to either establish and operate a Health Insurance Exchange by 2014 or participate in the federal Exchange. On April 12, 2011, Governor O’Malley signed the Maryland Health Benefit Exchange Act of 2011, which established Maryland’s Exchange as an independent unit of the state government. The Act also established a Board of Trustees to oversee the Exchange. The Hilltop Institute was commissioned to develop a series of background papers in order to assist the Board in planning for the implementation of Maryland’s Exchange.This paper provides background information on health plan contracting to the Maryland Exchange Board Advisory Committee and to provide foundational support for the analysis conducted by the vendor selected to perform the study. This report first provides an overview of health plan certification under the ACA and associated regulations recently proposed by the U.S. Department of Health and Human Services. It then describes Maryland’s individual and small group health insurance markets; the Maryland Insurance Administration’s premium rate review process; the non-selective form of contracting currently used by Maryland’s HealthChoice program; and the procurement process employed by the Maryland Department of Budget and Management to select health benefit plans offered to Maryland state employees, retirees, and their dependents.en_US
dc.description.urihttps://www.hilltopinstitute.org/wp-content/uploads/publications/Health-Benefit-Plan-Contracting-A-Background-Paper.pdfen_US
dc.format.extent29 pagesen_US
dc.genrereportsen_US
dc.identifierdoi:10.13016/m2h9rx-wcur
dc.identifier.citationSomerville, M., John, J., & Skopac, J. (2011, August). Health benefit plan contracting: A background paper. Baltimore, MD: The Hilltop Institute, UMBC.en_US
dc.identifier.urihttp://hdl.handle.net/11603/13163
dc.language.isoen_USen_US
dc.publisherThe Hilltop Instituteen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofThe Hilltop Institute (UMBC) Works
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.titleHealth Benefit Plan Contracting: A Background Paperen_US
dc.typeTexten_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Health-Benefit-Plan-Contracting-A-Background-Paper.pdf
Size:
492 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2.56 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

A. All Hilltop Institute (UMBC) Works
B. Health Care Access & Affordability (The Hilltop Institute, UMBC)