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Premiums & Benefits

Premium increases projected to be modest in 2019

Premium increases projected to be modest in 2019

Premiums for Affordable Care Act individual insurance coverage are set to rise much more modestly in 2019 than in previous years. But those hikes could have been even lower without Trump administration and congressional action last year.

How states are defining essential health benefits

How states are defining essential health benefits

Alabama and Illinois are the first states to take advantage of new flexibility to define the essential health benefits that certain insurers must provide. Their approaches show how some seek to bolster their ACA markets while others weaken them.

Trump administration freezes risk-adjustment payments

Trump administration freezes risk-adjustment payments

The Trump administration is halting billions of dollars of payments to insurers under the Affordable Care Act's risk-adjustment program, a move that further disrupts the insurance market and could lead to more premium increases next year.

Texas Blues insurer delays new ER payment policy

Texas Blues insurer delays new ER payment policy

The Richardson, Texas-based Blue Cross and Blue Shield of Texas, a subsidiary of Health Care Service Corp., will hold off on implementing a new ER payment policy for 60 days at the request of Texas Insurance Commissioner Kent Sullivan.

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