Modern Healthcare

REFORM:

HHS report: ACA provisions saved $2.1 billion

- Jessica Zigmond

HHS report estimates the ACA has racked up $2.1 billion in savings so far

An HHS report found consumers saved billions from insurance provisions in the healthcare reform law, but critics dismissed it as campaign fluff.

According to the analysis, the Patient Protection and Affordable Care Act’s ratereview requiremen­t—which makes insurance companies justify premium-rate increases of 10% or more—saved consumers about $1 billion since the provision took effect last September.

Another $1.1 billion in savings, the report said, came from the statute’s medical-lossratio provision, which requires insurers to spend at least 80 cents of every premium dollar on medical expenses or else pay the difference to consumers through rebates.

HHS has distribute­d about $160 million of $250 million the law provided for grants to help states review rate increases. But Thomas Miller, resident fellow at the conservati­ve American Enterprise Institute in Washington, questioned whether HHS could rightly claim credit for taming premium hikes, noting that most states used their existing authority to review rates.

Gary Cohen, director of HHS’ Center for Consumer Informatio­n and Insurance Oversight, said states made 69% of the ratereview determinat­ions, while HHS decided

on the remaining 31%.

The AEI’s Miller also said HHS is claiming credit for other factors that are keeping premiums down. “If you want to bring healthcare down, they’ve got a foolproof approach: Depress the economy,” he said. “If people don’t have money, they won’t buy expensive health insurance.”

On Capitol Hill, Sen. Mike Enzi (R-Wyo.), the ranking member on the Senate Health, Education, Labor and Pensions Committee, called the report “an election-year gimmick that ignores the true total cost increases of the new healthcare law.”

Enzi also noted in a statement that the Kaiser Family Foundation and Health Research & Education Trust found that family healthcare premiums are 4% higher this year than in 2011. “What this administra­tion does not want people to know is that the new mandates contained in the healthcare law are significan­tly increasing the cost of insurance, which will make it harder for many Americans to purchase affordable coverage.”

A Kaiser and HRET news release about the finding, based on a survey of 2,000 large and small businesses, characteri­zed the 4% growth rate as “moderate by historical standards,” though still outpacing wages.

Newspapers in English

Newspapers from United States