10 major concerns for health care reform after Supreme Court ruling

Global consulting and actuarial firm Milliman identifies the major strategic considerations for plan sponsors, insurers, and advisers now that the Supreme Court has upheld the Patient Protection and Affordable Care Act.

1. Adverse selection may still be a challenge. 2. Medicaid expansion just became a far more complex and variable proposition. 3. Employers grapple with new options and plan requirements. 4. What is the effect on early retirees?
5. Rate review scrutiny and no risk selection: Something’s got to give. 6. Which states will get on the exchange bandwagon?  7. Minimum loss ratios (MLR) pose an ongoing challenge for insurers. 8. Risk adjustment is essential.
9. Will cost shifting hold steady, increase, or decrease? 10.  The cost problem persists. What can be done about it?


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