Rate Review

The Affordable Care Act (ACA) requires that insurers, such as Avera Health Plans, submit their rates to either the state or federal government for review.

The rate review process is designed to improve insurer accountability and transparency. It ensures that experts evaluate whether the proposed rate increases are based on reasonable cost assumptions and solid evidence and gives consumers the chance to comment on proposed increases

The ACA also requires that a summary of rate review justifications and results be accessible to the public in an easily understandable format. These summaries are available at https://ratereview.healthcare.gov.