The Urban Institute  |  September 25, 2012

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The ACA includes a number of new strategies designed to improve the affordability of health insurance, particularly for individual consumers and small businesses. As one of these strategies, the ACA requires each state, or the federal government on behalf of a state, to review proposed increases in health insurance premiums and determine whether such increases are unreasonable. Rate review is intended to constrain unjustified premium increases through a comprehensive review process that helps ensure that insurers’ rates are based on accurate, verifiable data and realistic projections. The ACA’s rate review provisions were implemented beginning in August 2010, and robust rate review processes are expected to play a critical role in ensuring the success of the ACA’s broader market reforms that go into effect in 2014.

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