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Prior Approval Will Save New Yorkers an Estimated $225 Million in 2018

Posted August, 16 2017 by Amanda Dunker

The results of New York’s prior approval process for health insurance rates are in, and again it’s good news for consumers. The New York State Department of Financial Services (DFS) reduced the requested rates by 3.8 percent for individual plans and 2.4 percent for small business plans. Insurers had requested increases of 17.7 and 11.7 […]

Investing in Children When It Matters Most: The First 1000 Days on Medicaid

Posted August, 11 2017 by Taylor Frazier

Guest post by Ben Anderson, Director of Health Policy at Children’s Defense Fund-New York. The New York State Department of Health (SDOH) is embarking on a “First 1000 Days on Medicaid” initiative that aims to bring together a diverse group of stakeholders from across sectors that touch the lives of young children. The stakeholders include […]

Big Rebates Mean the State Should Limit Premiums for 2018

Posted August, 10 2017 by Amanda Dunker

New York’s insurance companies pay more in rebates than insurers in other states, according to new data analyzed by the Kaiser Family Foundation. In New York, insurers are required to spend at least 82 percent of the money they collect from customers on medical care. This is called the medical loss ratio (“medical loss” is […]

Recent Court Ruling Could Help Preserve CSRs

Posted August, 3 2017 by Taylor Frazier

We have been talking a lot about the ACA Cost Sharing Reductions or CSRs in the last couple of months. CSRs are crucial subsidies that help make out of pocket health care costs, like deductibles and copayments, more affordable for people who earn incomes up to 250 percent of the Federal Poverty Level (about $61,000 […]