South Dakota is Cracking Down on Unreasonable Health Insurance Premium Hikes
For too long, insurance companies in many States have increased health insurance premiums with little oversight, transparency, or public accountability. Some States have both the authority and the capacity to review insurers’ proposed health insurance premium increases. Just 26 States and the District of Columbia have the authority to reject a proposed increase that is excessive, lacks justification or exceeds certain standards. Many do not and some who have the authority lack the right tools to exercise that authority to reject excessive premium increases. This lack of authority and resources for States has unfortunately contributed to unjustified premium increases. Health insurance premiums have doubled on average over the last 10 years, much faster than wages and inflation, putting coverage out of reach for millions of Americans and business owners.
The Affordable Care Act provides States with $250 million in Health Insurance Premium Review Grants over five years to help states like South Dakota help transform the way they review proposed health insurance premium increases, take action against insurers seeking unreasonable rate hikes, and ensure consumers receive value for their premium dollars.
On August 16, the Department of Health and Human Services announced the award of $46 million in the first round of these grants, including $1 million for South Dakota. The following is a general summary of how South Dakota intends to use its funding:
- Improve the Review Process: Currently South Dakota only reviews the individual market health filings. South Dakota will develop comprehensive health insurance premium review standards and internal health insurance premium review guidelines including adding a second level actuarial review.
- Increase Transparency and Accessibility: Currently health insurance filings are only available upon request. South Dakota will establish a consumer friendly web portal to provide consumers with access to accident and health insurance premium filings.
- Develop and Upgrade Technology: South Dakota will upgrade systems to provide greater transparency.
The Health Insurance Premium Review Grants are one element of a broad effort under the Affordable Care Act to reduce the unsustainable rates of increase proposed by some insurers today. Additional resources from this $250 million program for rate review will be available in subsequent years to further strengthen State health insurance premium review procedures.