U.S. Department of Health and Human Services: Rate Review Annual Report September 2013. Estimates of Savings by State for Rates Proposed at 10 Percent or Higher

09/01/2013

In figure 5, savings by state are estimated using the Rate Review Justification (RRJ) data submitted to CCIIO for CY 2012.  Note that RRJ data differs from the Rate Review Grant data in that RRJ data only includes rate increase requests of 10 percent or more and thus represents a subset of the $1.2 billion in savings previously described.  The estimated savings, which include both the individual and small group markets, are calculated by taking the difference between the average requested rate increase, and the average approved rate increase, weighted by covered lives, for each filing that had a modification, rejection, or withdrawal.   This method assumes that each enrollee in these plans paid the statewide average premium for the year which is a limitation of the analysis.

Figure 5: Rates Proposed at 10 Percent or Higher
  Individual Market Small Group Market Total, Both Markets
State Number of Enrollees with Rate Review Savings Estimated Premium Savings Number of Enrollees with Rate Review Savings Estimated Premium Savings Number of Enrollees with Rate Review Savings Estimated Premium Savings

Sources: Rate Review Justification dataset for premium increase requests of 10% or more, as well as numbers of enrollees affected by each rate increase request.

Arizona

-

-

765

$618,753

765

$618,753

Arkansas

266

$24,279

-

-

266

$24,279

California

166,652

$35,668,218

377

$269,009

167,029

$35,937,228

Colorado

30,490

$12,090,243

-

-

30,490

$12,090,243

Connecticut

163

$10,005

84,799

$6,189,943

84,962

$6,199,947

Florida

11,571

$6,162,406

12,215

$775,031

23,786

$6,937,436

Illinois

15,991

$2,496,786

-

-

15,991

$2,496,786

Indiana

3,304

$1,690,440

13,881

$2,154,155

17,185

$3,844,596

Iowa

-

-

6,929

$1,167,576

6,929

$1,167,576

Kansas

-

-

2,104

$838,940

2,104

$838,940

Maine

1,105

$413,072

   

1,105

$413,072

Michigan

20,503

$3,573,777

61,437

$7,352,003

81,940

$10,925,781

Missouri

461

$74,294

-

-

461

$74,294

Nevada

7,484

$1,074,018

   

7,484

$1,074,018

New York

-

-

94,991

$22,636,478

94,991

$22,636,478

North Carolina

-

-

2,174

$70,151

2,174

$70,151

North Dakota

4,580

$1,710,182

1,416

$507,387

5,996

$2,217,568

Oregon

15,554

$2,506,854

-

-

15,554

$2,506,854

Pennsylvania

-

-

81,200

$3,895,436

81,200

$3,895,436

South Carolina

7,684

$1,649,812

1,421

$406,381

9,105

$2,056,193

South Dakota

225

$133,522

499

$242,299

724

$375,821

Utah

3,519

$1,075,618

-

-

3,519

$1,075,618

Vermont

600

$261,378

2,302

$96,164

2,902

$357,542

Washington

309,768

$31,818,918

21,360

$89,482

331,128

$31,908,400

West Virginia

-

-

221

$197,110

221

$197,110

Wisconsin

286

$108,154

10,350

$4,702,400

10,636

$4,810,554

Total

600,206

$102,541,976

398,441

$52,208,698

998,647

$154,750,674

 

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