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Wayne, A.1
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A Government Accountability Office report finds that the medical loss ratio standards are sufficiently accommodative to have allowed percent of all eligible health insurers to meet them in 2011. The new standards would be met by 77 percent of insurers in the large-group market and 70 percent in the smallgroup market. Government Accountability Office. Private health insurance: early indicators show that most insurers would have met or exceeded new medical loss ratio standards [Internet]. Washington (DC): GAO; 2011 Oct 31 [cited 2012 Jul 2]. Available from: http://www.gao.gov/new.items/d1290r.pdf
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Although most states are not yet at the point of making formal decisions about contracting approaches, the trend appears to be toward the open marketplace approach. For instance, in Maryland-one of the states furthest along in implementation-the legislature in 2012 modified its 2011 support for active purchasing by requiring the Maryland exchange to start as an open marketplace and give the legislature notice and an opportunity to review the situation if the exchange proposed to become an active purchaser in the future. Baltimore (MD): CMS;
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Although most states are not yet at the point of making formal decisions about contracting approaches, the trend appears to be toward the open marketplace approach. For instance, in Maryland-one of the states furthest along in implementation-the legislature in 2012 modified its 2011 support for active purchasing by requiring the Maryland exchange to start as an open marketplace and give the legislature notice and an opportunity to review the situation if the exchange proposed to become an active purchaser in the future. Centers for Medicare and Medicaid Services. General guidance on federally-facilitated exchanges [Internet]. Baltimore (MD): CMS; 2012 May 16 [cited 2012 Jul 2]. Available from: http://cciio.cms.gov/resources/files/ffe-guidance-05-16-2012.pdf
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