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Milliman Annual Report provides insights into U.S. PPACA program stability

Actuarial firm Milliman in March 2017 released its annual report on the U.S. commercial health insurance market’s financial results [1] .

Based on medical loss ratio data submitted in 2016 to the Centers for Medicare and Medicaid Services, the report provides a clear picture of health insurers’ financial experiences in each year, and provides a final accounting of insurers’ financial results after “3R” transfer payments have been completed.

The report details accounting results for 2015, which was the second full year of the Patient Protection and Affordable Care Act (ACA).

The report also summarizes insurance marketplace enrollment through 2016 as well as corresponding federal expenditures on premium and cost-sharing assistance.

The report will be helpful in helping legislators analyze the effect of current ACA financial assistance components to consumers and the impact from marketplaces and “3R” programs on the industry.

Key points in the report: