Milliman Report on SB 1765
Commissioned by the Texas Association of Health Plans
Proposed bill S.B. No. 1765 would, among other things, require insurers in Texas to credit all insured cost sharing to a single out-of-pocket maximum (OOPM), prohibiting insurers from having separate in-network and out-of- network OOPMs. TAHP seeks to understand the impact this change would have on commercial premiums and how it might affect insurers and insureds in the near term (in 2024) and how it might change the health insurance landscape going forward.
Read the full report.